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Healthcare importance
Role of the Advanced Practice Nursing Professional
Healthcare importance
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Advanced practice roles will only become increasingly utilized and in great need in the coming years as legislators have brought vast change to U.S. healthcare. The number of newly insured individuals combined with the expanding elderly population is already bringing the number of patients seen in emergency departments and outpatient facilities higher than ever before. As more individuals and families gain access to healthcare, this explosion in patient numbers in the coming years will have a great impact on the clinicians themselves. There will be increasing focus on managing care and cost-efficiency as these previously uninsured patients have gone without medical care for such a long time and will need vast amounts of high-acuity and specialized care. An advanced practice role can consist of numerous positions: clinician, manager, educator, …show more content…
• Web-based collaborative seminars with partnering medical institutions.
• Education of evidence-based nonpharmalogical practices.
• Orientation programs for new staff.
• Development and distribution of department specific materials based on new policies, procedures, and processes.
• Provide consult for both employee and patient satisfaction.
• Assess and evaluate the effectiveness of educational opportunities for staff. Knowledge is power, especially in such a setting where every second makes the difference in life or death situations. Knowing what to do is the first step, but knowing how to perform the task with the most fluidity and with the best practice is the way to improve patient’s outcomes in an emergency department setting. Herbert, Bright, Jhun, & James (2014) explain that:
The tools to maintain knowledge are more robust and ‘peer-reviewed’ than ever before. Only a portion of the art and practice of emergency medicine can be acquired from memorizing facts or watching lectures. In the end, this art must be perfected at the bedside.” (p.
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
Williams, B, Jennings, P, Fiedler, C & Ghirardello, A 2013, ‘Next generation paramedics, agents of change, or time for curricula renewal?’, Advances in Medical Education & Practice, vol.4, pp. 225, doi: http://dx.doi.org/10.2147/AMEP.S53085
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
Process Excellence in the emergency department is a team collaboration that has a focus of interest for improving quality of care for patients. Team collaboration in health care is recognized as a group of health care workers from different disciplines working together on a common goal. This particular “multidisciplinary” (Finkelman, 2012, p. 336) team meeting was a collaboration of team members that included: the Emergency Room (ER) Director, ER physicians, and ER nurses, ER Head Health Unit Coordinator, ER Business Manager, Senior Process Excellence Coordinator, Director of Information Management, and the Senior Marketing Specialist. This team’s purpose aims to organize a team approach to care for patients treated in the emergency department and focuses on the care approach that provides continuity of care to patients. This focus on the patient is aimed to provide not only a higher level of patient satisfaction, but also to improve professional satisfaction by developing approach by emergency room staff to provide care as team collaboration. This process excellence team has been meeting for over two years in hopes of this goal being reached. This paper aims to help the reader gain a better understanding of this specific team collaboration, the roles of its members, and the communication methods utilized.
Sullivan, E. J. (2004). Becoming influential: A guide for nurses. Upper Saddle River, NJ: Pearson-Prentice Hall.
The film, The Waiting Room, paints a clear picture of the variety of obstacles that commonly occur in the emergency department. The majority of patients are uninsured, are using the hospital as their primary care physician, long wait times and communication challenges. This paper will outline challenges displayed in the documentary paired with different ideas working to create a more effective health care experience.
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
JB McKenzie, et al. "STRATEGIES USED BY CRITICAL CARE NURSES TO IDENTIFY, INTERRUPT, AND CORRECT MEDICAL ERRORS." American Journal of Critical Care 19.6 (2010): 500-509. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
The process of role development goes beyond networking and taking on a new role as an APN. According to Brykczynski’s study of clinical nurse specialists, role development involves a complete makeover of one’s professional identity and the ability to integrate the seven core advanced practice competencies.1 New graduate APNs go through phases during their transitioning period, from a registered nurse to an APN; these phases include orientation, frustration, implementation, integration, frozen, reorganization and complant.2
As long as the AMA restricts the number of new physicians being trained, and leaving the U.S. unable significantly increase the supply of physicians to meet the changing demographics and the additional people receiving health care from the ACA, health care costs will rise. Several alternatives have been proposed to lessen the effects of the shortage of physicians. First, physicians could reduce the average time spent with patients, allowing them to see more patients. Second, nurse practitioners and physician assistants could be utilized more efficiently to reduce the burden on physicians and provide health care to greater numbers of people.
Our current health care workforce is vastly under equipped to care for the rapidly aging senior population. The Institute of Medicine (IOM) estimates that by the year 2030, the demand for geriatricians will swell to 36,000 (Herdman et al., 2008). Today there are approximately 7,000 physicians trained in geriatric care and this number is steadily declining (Herdman et al., 2008). This critical shortage requires immediate action to ensure that the elderly are receiving the adequate care that they need.
An issue that seems to have always been of concern, yet never fully settled for APNs is that of full practice authority. Full practice authority has been an issue for a long time. APNs have been restricted and held back by legislation for too long. In restricted states APNs are under supervision by both the Board of Nursing and Board of Medical Examiners for their corresponding state (Myers, 2013). This causes friction between the two factions for the reason that there is still a great deal of physicians out there that do not truly understand the role of an APN. Due to their inadequate knowledge on the matter of APNs and their role in practice, APNs’ role are being discounted to the general public by having to be under the Board of Medical Examiners supervision and not practice to their autonomous full extent. APNs are subject to minimum of a Masters degree, with option of Doctoral and PhD. With extensive academic education and closely regulated minimum clinical and didactic training hours, APNs are more than qualified to retain full practice authority. Any rule, regulation, or legislature preventing full practice authority is outdated and the author responsible is
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;
I started to explore the different fields of medicine by working as a Medical Scribe in the Emergency Department, ER tech in Trauma Centers, getting involved in research, volunteering at hospitals and taking high level science classes. This will enhance my knowledge and experience i...