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Comparing the four roles of advanced practice nurses
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The purpose of this paper is to describe how I visualize my future role as a mastered prepared nurse professional. The Association of American Medical Colleges estimates that by 2015 the nation will face a shortage of 62,100 physicians, 33,100 primary care practitioners and 29,000 other specialist. The nursing shortage evaporated during the recession, because many nurses returned to the workforce, but nurse practitioners remain a scarce resource in many areas (Expanding the Role of ANP Risk and reward). American Association of Retired Persons (AARP), a supporter of transforming health care to meet the challenges of an aging population and a shortage of primary care providers, agrees that advance practice registered nurses (APRNs), could provide seamless, accessible, affordable, and equitable quality care if they are utilized to the full extent of their education and training (AARP). In 2010, the Institute of Medicine published The Future of Nursing: Leading Change, Advancing Health, a report which offered an intensive examination of what the nursing profession is now and should become. It states that nursing is at the heart of patient care and is therefore crucial to changing the way health care is delivered so that patients receive care at a cost they can afford. Nurses are a linchpin for health reform and will be vital to implementing systemic changes in the delivery of care (AARP).
The passage of the Affordable Care Act (ACA) in March 2010 represented a significant turning point in the evolution of health care in the United States and presents boundless opportunities for APRNs (The Patient Protection and Affordable). The ACA promises to add 32 million Americans to the rolls of the insured amidst a shortage of primary...
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...is centered on our values of other as a mirrored image of the value we feel that Christ has placed on us. Touching lives and giving away of our knowledge will ultimately help us achieve better health for all. Keep it simple and stay real to the clients experience is a slogan I stole from a practicing nurse. Convinced that I make a difference, my education along with my belief system will ensure that first and foremost, I am the change I want to see.
Works Cited
http://EzineArticles.com/2805580
Julia A. Fairman, (January 2011) The New England Journal of Medicine: Broadening the Scope of Nursing Practice.
Susan Reinhard and Susan Hassmiller, AARP real Possibilities The Journal: The future of Nursing: Transforming Health care.
John K. Iglehart (May 16, 2013) The New Englan Journal of Medicine: Expanding the role of Advance Nurse Practitioner-Risks and Reward.
Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010. The intent is to create a healthca...
The objective of this interview is not to nominate the subject (WG) for Nurse Practitioner of the year. The intent is to gain insight into the role higher education plays in presenting more opportunities for diverse career path. WG is a nurse practitioner who works with pulmonary physicians in a private practice setting. He exemplifies the professional nurse practitioner knowledgeable, kind and caring, that all in this profession should strive for.
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.
The United States (U.S.) has a health care system that is much different than any other health care system in the world (Nies & McEwen, 2015). It is frequently recognized as one with most recent technological inventions, but at the same time is often criticized for being overly expensive (Nies & McEwen, 2015). In 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) (U. S. Department of Health & Human Services, n.d.) This plan was implemented in an attempt to make preventative care more affordable and accessible for all uninsured Americans (U.S. Department of Health & Human Services, n.d.). Under the law, the new Patient’s Bill of Rights gives consumers the power to be in charge of their health care choices. (U.S. Department of Health & Human Services, n.d.).
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).
Mundinger, M., (1994). Advanced-Practice nursing—good medicine for physicians? New England Journal of Medicine, 33(3), 211-214. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJM199401203300314
Avent (2010) a clinical nurse specialist formed an article stating that Studies have uncovered th...
In 2009, President Obama signed the Patient Protection and Affordable Care Act (ObamaCare) and former ANA President Rebecca M. Patton, MSN, RN, CNOR witnessed this historical moment. American nurses celebrate with satisfaction, because their hard work paid off, enacting historical health care reform legislation that benefits not only nurses but their patient as well. Despite that the health care reform is now a reality, is important to keep working in order to make sure that the reform is implemented effectively (Routson, 2010).The ANA has been in favor of a health care reform that would provide high quality medical services for all. ANA believe that with Patient Protection and the Affordable Care Act, millions of American will be protected against the lost or denied health insurance coverage and improved access to primary and preventive care. (ANA, 2011)
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.
With my academic, professional and volunteer experience, I have reached a point in my career where I am fully equipped to enter the advanced curriculum of the Doctor of Nursing practice, Family Nurse Practitioner program. Working in the nursing profession for the past three years has shown me that there is an increasing need for research to improve health care delivery and access to vulnerable populations. It is rewarding to be a nurse; however there are limitations in my current scope of practice that prevents me to go beyond my job requirements. Through advanced education, my aim is to provide quality patient-family
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,
Burton, A. (2000) Reflection: nursing’s practice and education panacea? Journal of Advanced Nursing; 31: 5, 1009–1017.
conundrum. Contemporary Nurse, 33, 2. p.191(11). Retrieved February 05, 2010, from Academic OneFile via Gale.
My reasons for selecting a career in nursing stem directly from my desire to help our prospering population and community. This career appeals to me because it embodies what I strive to become, a person of influence, a guide, a respected adult, a mentor, and a person that can be trusted and looked up to with great passion. Another reason for selecting a career in nursing has a lot to do with my current job position at Generations Elder Care. Working with the elderly community at this personal care home has enriched my life in many ways, including one for my passion of learning more about the nursing field. As I shadowed the nurses entering the facility I watched them do their assessments on the residents which has peaked my curiosity. I believe being a nurse presents daily challenges which are unique, interesting, and rewarding and that is another reason why I want to become a nurse. Knowing that I have helped someone in some way possible gives me a feeling of fulfillment and enjoyment that I never understood or had before. And this career offers just that, and that is exactly why I...
All Americans deserve the right to accessible health care. Consequently, the government has started the Affordable Care Act (ACA), which is simply “quality, affordable health care for all Americans” (Patient Protection and Affordable Care Act, 2010). The demand for health care is increasing yearly, which can be contributed to not only the aging and population growth, but also the Affordable Care Act. It is estimated that by the year 2019, over 32 million individuals will be gaining health coverage (Hofer, Abraham, & Moscovice, 2011). To be able to care for the rapidly growing number of health care recipients, continued changes must take place within the health care setting. Not only is there an increase number of people seeking health care but there is a shortage of nurses available to deliver quality patient care. The US Census Bureau (2014) states that the average age of nurses will continue to rise, with approximately fifty percent entering retirement by 2020. There is an...