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Why scope of practice is important in nursing
Nursing scope of practice
Nursing scope of practice
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Restraint of trade is becoming a more commonplace as nurse practitioners (NPs) attempt to expand or work within their full scope of practice (Horton, 2013). In the health system, many NPs are being restricted by physicians to oversee patients, as well as restricting the mileage with which one can collaborate with a physician. This affect patient’s care and productivity. The issue with restraint of trade is that physicians are not wanting to collaboration with NPs and the ones who do collaborate do so to meet the legal requirement only on paper. Issues with restraint of trade are that physicians are afraid NPs are going to take away their work, their income and patients (Horton, 2013). In true view, collaboration is working together with nurse
practitioners toward achieving a common goal. States legislatures and state’s board need to have a rethink on the effect of restraint of trade affecting patient’s care and allow NP to practice to their fully capabilities with prescriptive authority. Government and medical board association needs to understand that NP's enhance and improve physician care; and allow them to concentrate on more acuity patients. Nevertheless, the legislature and medical association needs to know that NP are capable and train to treat and provide care just as a regular physician would. More focus is to be placed on communication, patient outcome improvement and team work rather than limitation of what NPs can do and practice.
The article Troubled Nurses Skip from State to State Under Compact exposed nurses under disciplinary actions in one compact state were being able to continue practicing in another compact state. The article discusses the case of one particular nurse, Craig Peske, who was fired from a Wisconsin hospital in 2007. Peske was suspected of stealing Dilaudid, “when in a three-month period he signed out 245 syringes full of the drug – nine times the average of his fellow nurses” (Webe...
In the United States, depending upon the state in which they work, nurse practitioners may or may not be required to practice under the supervision of a physician, frequently referred to as a “collaborative practice agreement”. However, in consideration of the shortage of primary care/internal medicine physicians, many states are eliminating or lessening the restrictive authority which allows and nurse practitioners the ability to function more autonomously (AANP 2015).
Traditionally nurses have taken a subordinate role in making decisions regarding patient care. With increasing emergence of advanced nurse practice, ethical issues that relate to independence of practice arise. After years of legislative debate some states are trying to fill the primary care physician shortage with nurses who have advanced degrees in family medicine. There are currently 18 states in America that have allowed DNPs to practice without physician oversight (Vestal, 2013). While many state and federal legislations bear concerns about patient’s s...
Collaboration is a complex process that requires intentional knowledge sharing and joint responsibility for patient care. Sometimes it occurs within long-term relationships between health professionals. Within long-term relationships, collaboration has a developmental trajectory that evolves over time as team members leave or join the group and/or organization structures change. On other occasions, collaboration between nurses and physicians may involve fleeting encounters in patient arenas (Lindeke PhD RN, CNP, & Sieckert, BAN,
Yee, T., Bokus, E., Cross, D., & Samuel, D. (2013). Primary care workforce shortages: nurse practitioner scope-of-practice laws and payment policies. National Institute for Health Care Reform, 13, 1-7.
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Pericak, Arlene "Increased Autonomy for Nurse Practitioners as a Solution to the." The Journal of the New York State Nurses Association 42.1-2 (2011): 5-7. New York State Nurses Association. New York State Nurses Association. Web. 24 Oct. 2013
1. The role of the Nurse Practitioner in Primary health Care in Ontario is to work collaboratively with the interprofessional team, patients, and patient’s families in order to communicate diagnoses, order and interpret diagnostic tests, prescribe medication, and to provide treatment using a holistic approach. The Nurse Practitioner does not replace other health care professionals, but works together with them focusing on “health promotion, disease and injury prevention, cure, rehabilitation and support” (Ontario PHCNP Program, 2014). The Canadian Nurse’s Association believes that the Nurse Practi...
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
Nursing may be seen as very independent work even though there will be situations that will require others. Friendships may be formed; however, to have professional interactions is something that is not always followed. In terms of patient confidentiality, we may not realize that a HIPPA violation has occurred due to friendly conversation with coworkers. If a patient were to overhear their nurse discussing their information in an unprofessional manner then it may cause issues with a patient’s dignity and their rights. If a patient’s right is violated then it can lead to a patient’s mistrust in their caregiver, leading to mistrust in the facilities, and can end with a patient’s health being compromised. The patient is the reason for this career; if the needs of the patient are being unmet or violated then the purpose of our occupation will be unsuccessful and
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
Today, nurses account for roughly two-thirds of all medical care providers (Clarke, 2012, pg.320) and in part receive an amount of recognition that is far less than physicians and surgeons. Many nurses face a lack of respect from the patients they medically assist, and even their co-workers including primarily the doctors and other professionals who reside over them. The relationship between doctors and nurses is often noted as problematic filled with barriers that result in a form of tension between who is detected as more resourceful and professional (Pullon, 2008, pg.140) often with the doctor consuming the greatest amount of recognition. In fact, doctors in respect to primary care tend to label themselves as the “biomedical part of primary care” (Pullon, 2008, pg.139) with nurses and other health occupations below them being seen as a supplementary component to a consultation. Activities such as injections, basic inspections and administering medications are just a few examples of medical acts that are performed both by nurses and doctors, but
86-89). According to McCormack & McCance (2010), nurses are within their professional care capacities to deliver patient-centered or person-centered processes. The main components of an effective process include the following: “working with patient’s beliefs and values; engagement; having sympathetic presence; sharing decision-making and providing for physical needs” (p. 89). Since nurses are at the forefront of engagement with the patients in a continuous basis, they are in the best position to address and shape policies not only within their organizations, but also at the national level. However, values in the healthcare industry, relative to guidelines and policies, will only be formed through intelligible advocacy, discussion, debate, collaboration, and influence. Therefore, advancing the nurses’ professional care expertise through interdisciplinary collaboration across the healthcare profession, opportunity for advanced educational programs, and promotion to executive position within an organization is of the best interest in addressing and improving the healthcare system. The intended outcomes will result to a cost-effective, quality, and safer patients’ clinical care.
At the same time, collaboration which played an important role as a relationship between this both professions involved (Sayed& Sleem 2011). However, doctors and nurses have a complicated relationship over the year, which were affected by social status, gender, power and perspectives 9. In addition, the power between nurses and doctors affected toward nurse-doctor relationship throughout 1970-1980s (McKay & Narasimhan (2012). Studies suggest that there is a serious need to promote positive changes toward inter professional collaboration between doctors and nurses improve patient outcomes and increase nurses’ job satisfaction2,3,4(Bartholomew 2008).. Nevertheless, the nurse-doctor relationship had been improved by 1990s. It is obviously shown when the nurses are able to challenge the doctors, discuss together, changing information and gain more