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Historical develpment of nursing
Historical development nurse
Historical development nurse
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o Type of healthcare worker: Nurse practitioner o When this type of work entered the market: The medical profession of nurse practitioner was developed in the mid 1960s. The job of nurse practitioners grew from implementing work from primary care physicians into that of traditional nurses. o Reasons for creation and growth: In the late 1950s and early 1960s, increased specialization amongst physicians was taking place, which led to many doctors exploring other avenues of medicine, resulting in a large shortage of physicians practicing primary care. This left many rural and inner city areas with very limited access to medical care. During this same time, Medicaid and Medicare programs were growing rapidly and increasing the number of individuals covered, such as to low income individuals, the disabled, and the elderly. The abrupt expansion of coverage caused the demand of primary care services to skyrocket. With physicians no longer able to meet the growing demand, nurses stepped to provide medical care, and soon believed that were qualified to broaden their role and scope of abilities. In 1965, a nurse and physician, Loretta Ford and Henry Silver, recognized the need for a training program, and developed the first curriculum for nurse practitioners. Since then, the role of nurse practitioner has rapidly increased in response to the expanding and growing need for accessible and affordable care and is currently ranked as one of the fastest growing professions in healthcare. o Financial implications: Lower overall costs have been associated with NP (nurse practitioner) care. Studies show that the average cost of a nurse practitioner visit is approximately 25-30 percent lower compared to that of a physician visit. For exam... ... middle of paper ... ...sation. This is causing audiologists in the future to pursue careers in research, military audiology, and academia, instead of private practice. However, since hearing loss is associated with aging, individuals continually demand services from audiologists. Also, members of the baby boomer generation are all now seeking services from audiologists. It is projected that the profession of audiology is to grow approximately 37% within the next few years, and the field is to continue expanding. o Impact on other healthcare workers: Audiologists have aided certain types of doctors such as ENTs and are sometimes seen as ancillaries for primary care physicians. Also they can work alongside hearing aid dispensers providing audiological care. Sometimes this can cause confusion among consumers seeking hearing care as to what the different roles are of the professionals.
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies and is provided by obstetric and gynecologic sonographers, who also provide imaging of the female reproductive system. Other types of sonography include; abdominal sonography, breast sonography, musculoskeletal sonography, neurosonography and cardiovascular sonography. Due to the vast nature of uses in sonography, most professionals study one field that they choose to specialize in. Diagnostic medical sonography is a rapidly growing field because of the increase in medical advances. The area of Cleveland, Ohio has continued to rise in the medical field with great strides, providing better career prospects with the availability of numerous employment positions.
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.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Ultrasound Technicians are very valuable in the world of health care. Also known as Diagnostic Medical Sonographer, an Ultrasound Technician uses special machines and equipment that operates on sound waves to determine or diagnose medical problems for patients. There are specializations within this field in which some individuals explore. For instance, areas of specialization includes but not limited to; pregnancy, heart health, gynecology, and abdominal sonography. Although each specializing branch has its own distinctive function, they all involve probing the body to facilitate doctors with diagnoses.
Define Nursing Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nurses who have received graduate-level nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialists when necessary. Some nurse practitioners work under the supervision of a physician while others run their own practices.
Report on the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification. O’Brian, J. M., (2003). The 'Path of the Earth'. Journal of Science, How Nurse Practitioners obtained provider status: History of nurse practitioners.
Tucker, Bonnie. “Deaf Culture, Cochlear Implants, and Elective Disability.” Hastings Center Report. 28.4 (1998): 1-12. Academic Search Complete. EBSCO. Web. 9 Dec. 2013.
Typically NP’s provide health services in rural areas where they are the only source of medical services and this had n...
Yee, T, Boukus, E. R., Cross, D., Samuel, D. R. (2013). Primary care workforce shortage: Nurse practitioner scope of practice laws and payment
While this aspect of audiology has become more apparent as I have gone through coursework, I first discovered this essential function when I was fourteen years old. Prior to this point in my life I had never heard of an ‘audiologist’ but my own circumstances of developing progressive hearing loss facilitated my introduction to it.
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.
I was born in the Philippines and raised to be a hard working woman. My determination and high dedication to my goal brought me to where I am now. I started my career in health care as a certified nursing assistant (CNA) in one of the hospitals here in IL, USA. I did not realized until I became a CNA that helping other people especially the vulnerable one made me happy deep inside and appreciate what I have in life. Therefore, I decided to further my education in nursing in order to help more and be one of an advocate person to the most sick person. I took the Associate degree first, then finished the Bachelor's degree after two years. I had two jobs while I was finishing my bachelor's degree and I was able to managed it well. I have been an RN in Medical-Surgical for about five years now. I'm always expose to adult and geriatric patients and always love to take care of them. I have been taking care of different kind of patients with different medical diagnosis and also different post-operative patients from joint surgeries, abdominal surgeries, back surgeries, etc. I've been able to educate them, assess them well with their conditions, modify patient's treatment plans, coordinate with other healthcare team, and perform other responsibilities of a nurse. One of my goals
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
Science and technology are the two tools, which have helped the human race to control the nature up to a great extent. These are also the most rapidly changing areas, and they are strongly interdependent on each other. New discoveries in science lead to a better and more efficient technology; while new inventions in the technology help to discover and study science more deeply and accurately. Health care is a profession that uses both these tools to achieve the noblest cause ever possible- that is nothing but saving people’s lives. Obviously, advancement in the existing technologies will change the ways physicians diagnose, analyze, and cure patients. Having better machines for ultrasounds, MRI, PET scans will let the physicians concentrate more on the options to treat the diseases rather than diagnosing them as accurately as possible. One of the exciting reasons why I chose medicine as my future profession is actually the fact that it is changing every minute and I will always have something new to learn. Biology, technology, excitement, and community service are the perfect qualities possessed by a profession in health sciences that will give me the satisfaction of choosing the right