How might this change the landscape and scope of service that an NP provided in the outpatient environment in relation to the quality of care/access to services/costs of providing the service?
For many decades nursing has been one of the most trustable profession. This classification was gained based on population satisfaction, nursing skills and the key role in preventing diseases. Nowadays, with the progress of technologies and the modernization of the industry it’s the time for nursing branch to take its development on an higher level and scale. This need comes out based on a combination of multiple factors illustrated in ACA as:
• Increase in health care spending - 17.9 percent of our gross domestic product (GDP) in 2010. Expected to reach 20
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are related to preventable diseases such as obesity, diabetes, high blood pressure, heart disease, and cancer, and three quarters of our health care dollars are spent treating such diseases. However, only 3 cents of each dollar spent on health care in the U.S. (total public and private) go toward prevention.(Lathrop & Hodnicki, 2014)
This being said the need of a new position for Advance Nursing practice can be very useful in providing both direct patient care and clinical leadership, at a lower price but at the same quality as primary care physicians do.(Lathrop & Hodnicki, 2014).Furthermore, new EBP showed that the patients are at least as satisfied with care at the point of first contact with nurse practitioners as they are with that from doctors.(Horrocks, Anderson, & Salisbury, 2002)
For sure these evidences and many other can demonstrate that NPs in near future need to be reimbursed by the health insurances at the same rate as primary care physicians do.
In my opinion those changes will promote the reconfiguration of health care job descriptions for NPs and modify the equilibrium of primary care physician vs
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
Nurses and physicians need to become partners in health care reform. We have a responsibility to provide competent care to our patients. National standards need to be put in place to decrease the inconsistencies in APN practice. Overwhelming data supports the APN over the physician in cost effectiveness, quality and access to care and many other aspects.
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Typically NP’s provide health services in rural areas where they are the only source of medical services and this had n...
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
This paper will evaluate the local, national and international drivers that have influenced the development of advanced nursing practice. The discussion will include the political, economic, social, and technological influences that have contributed to the transformation from the traditional nursing role to the numerous exciting advanced level career opportunities achievable in nursing today. Dynamics that have shaped my own current advanced nursing role will be discussed and to conclude some thoughts on the future of advanced nursing practice.
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.
There are less medical students electing to enter primary care; therefore, it is predicted that there will be a scarce amount of family medicine physicians available. Recent evidence indicates productivity and quality of care are enhanced when PAs and NPs are added to the primary care collaborative team. Increasing the role of PAs and NPs could be a great approach for addressing the growing need for primary care providers as coverage expands under the ACA. A greater framework of PAs and NPs would expand access to care and reduce over-utilization of costly emergency services. Overall, PAs and NPs are advantageous in the provision of primary care services through interchangeable roles, efficiency, and reimbursement (Hooker and Muchow, 2015).
To improve the overall healthcare in the United States, the Institute of Medicine (IOM) in partnership with the Robert Wood Johnson Foundation (RWJF) conducted a 2-year research to assess and transform the nursing profession in 2008-2010. Disease prevention, providing quality care to improve health care outcomes and health maintenance was the main focus. Reforming the nursing profession is very important for improving the overall quality of health care and offering more affordable, flawless and quality care to all patients. Accomplishing this transformation requires alteration in many parts of the health care system. The nursing profession is the largest subdivision of the health care workforce.
The first key message that is discussed is that nurses should practice to the fullest extent of their education and training. Most of the nurses that are in practice are registered nurses. Advanced nurse practitioners are nurses that hold a master’s or doctoral degree and include nurse midwifes, clinical nurse specialists, nurse practitioners, and nurse anesthetists and consist of about two hundred and fifty thousand of the nurses currently working today. Advanced practice nurses are limited to what
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.
Roughly 2.8 trillion dollars is spent currently on health care in the United States (Kliff, 2014). In 2013, the United States spent almost 50 percent more than the next highest health care spender, France (The Commonwealth Fund, 2016). Many experts agree health care costs consumes a significant portion of economic output as well as increased premium costs. Several factors are contributing to cost escalation such as defensive medicine, increase in the elderly population, and growth of technology (Shi & Singh, 2016). The United States is considered to have mostly a private health care system, however it spends more money on the public health care system than countries with a completely public health care system. Government funded programs, such as Medicare, play a considerable roll in health care expenditures. It is projected that Medicare expenditures will rise to 9 percent of the GDP by the year 2050 (Shi & Singh, 2016). Further concern arises with drug costs in the United