Abstract This paper discusses the evolution of the role of advancednursingpractitioner. The author presents issues of the political perspective, health care reform, historical development of the nursepractitioner role and role implementation. The paper assumes that ANP will have a larger role in the future.
From the Paper "This paper covers several important issues of relevance to advanced practice nursing. The major discussions address the issues in relation to the political perspective, health care reform, historical development of the nurse practitioner role and role implementation. The investigation of the political perspective focuses on the issue of health care reform in the United States. The first aspect of the issue investigated is the need, if any, for health care reform. The second aspect of the issue ..."
Tags: Health care, advancednursing practice, nursepractitioner, funding, Canada
Abstract This paper presents a detailed comparison of two system models for the advancednursepractitioner. A personal recommendation for use of a particular model is in included at end of paper.
From the Paper "This research compares and contrasts the Hodges' Health Career Care Domain Model Jones with Neuman's Health Care System Model. The initial and major discussion following this introduction identifies compares and contrasts the two models. The paper concludes with personal reflections on the two models with respect to insights and future areas of study."
Tags:Advancednursepractitioners, system models, Hodges'Health Care Career domain, Neuman's Health Care system model
Abstract In this article, the writer notes that acute care nursepractitioners (ACNPs) have a growing value within society because of the increasing retirement of the baby boomer population, the advances in disease research that have occurred over the past decade, and the decline in the physician population in the United States. The writer points out that the scope of practice for ACNPs has become broader, therefore, states continue to create laws that support the capabilities of these professionals. The writer maintains that new methods of training and acceptance of the capabilities of ACNPs by legislators and the public have allowed ACNPs to practice in a variety of settings and successfully meet the needs of the populations they serve. The writer also notes that it is evident that the acceptance of ACNPs is not universal and that there are still issues that pertain to prescriptive authority in some states. Finally, the writer concludes that because this field of nursing has been capable of advancing greatly over the past few decades, it is also evident that these concerns will be overcome and that ACNPs will eventually be the primary choice for quality health care in the United States.
Outline:
Introduction
History
Licensure vs. Certification
Scope of Practice
Challenges of the ACNP Role
Relevance of State Practice Acts
Conclusion
From the Paper "Licensure refers to the nurse's ability to pass professional exams that indicate his or her knowledge in the basic areas applied to the profession. The purpose of licensing by all states is to ensure that the individual's knowledge and skills can be minimally trusted and that the person has the ability to assist the public with their health care needs. Licensing is required of all nurses in each state."
"Certification can be accomplished by the nurse practitioner in a specific field related to the occupation. Certification is awarded through the passage of tests, but only tests the knowledge of the individual as it pertains to a specific field of medicine, rather than the entire scope of nursing. Most nurse practitioners are certified in some specialty field."
Abstract This paper presents a detailed comparison of two system models for the advancednursepractitioner. The paper includes a personal recommendation for use of a particular model.
Tags:Advancednursepractitioners, system models, Hodges'Health Care Career domain, Neuman's Health Care system model
Abstract The paper discusses how advancednursepractitioners (APNs) have increased their scope of primary care delivery. The paper explains the tensions with doctors over the new power entrusted to APNs and the disagreements as to specific responsibilities. The paper concludes that as this role becomes more integrated into the framework of different societies and is better defined, it is expected that healthcare providers will collaborate better.
From the Paper "As healthcare in the United States becomes a more complex and crucial societal element, it will become increasingly important for providers to gain different levels of specialization and education. One area that is growing as a result is the advanced nursing practice. Although this area of advanced nursing practice can involve different areas of study and healthcare provision, in 2004, the American Association of Critical Care Nurses (AACN) broadly defined the term "practice" as "any form of nursing intervention that influences healthcare outcomes for individuals or populations, including the direct care of individual patients, management of care for individuals and populations, administration of nursing and health care organizations, and the development and implementation of health policy." (2004, p. 2). In its most basic terminology, this level of nursing refers to any nurse that has a Master's degree or, as is becoming more commonplace, a Doctorate in Nursing."
Abstract The paper begins with a brief overview of the careers of a unit director and a nursepractitioner by explaining their activities and responsibilities. It then lists the formal educational requirements to become a unit director or a nursepractitioner and explains the ways in which they are trained. The paper then describes the salaries and benefits earned by the two professions and the number of hours that they are expected to work. The paper concludes by explaining the job satisfaction experienced by the two types of nurses.
From the Paper "Certified nurse practitioners overall receive what most people would consider to be a good salary and as well as better-than-average benefits. We can see this documented in a recent posting by the state of Oregon for nurse practitioners. These nurse practitioners, who were wanted to work in a wide variety of settings, could receive a salary of up to $5,129 per month depending on their own training and experience."
Abstract The paper, in describing the family nursepractitioner (FNP), discusses the FNP's work situation, duties, salaries and qualifications required. The paper further highlights the fact that nurses often substitute for doctors in specific situations. The paper continues by presenting it's research on the duties, support and contributions that nurses provide.
Outline:
Introduction
Conceptionalization of Role/Theoretical Support for Family NursePractitioner How Concepts and Theory Come Together to Create a Framework for the FNP
Research Related to the Role of the FNP
Further Research is Needed
Closing Paragraph
From the Paper "Because M.D.s are lacking in rural areas, many FNPs are filling in and serving as primary healthcare providers. The Family Nurse Practitioner began in 1965 at the University of Colorado, conceived of by Loretta Ford, PhD (a nurse educator) and Dr. Henry Silver. The idea of a nurse to fill in for the anticipated shortage of doctors in rural areas created the need for a nurse practitioner program in the nursing school. The nurses were educated for a general and complete program of medical care for rural families. During the 1970s the programs, now offered at many nursing schools, began to include continuing education so that those who wished could work toward a Nurse Practitioner (NP) certificate. Today NPs have a master's degree if they are to enter nursing programs to work toward a NP certificate. After certification, the state issues a license to practice to qualifying FNPs, and each state still has its own criteria for qualifications. Each FNP applies for national certification from the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP). "
Abstract This paper describes the role of the Family NursePractitioner (FNP). The paper also looks at the education and training requirement to become an FNP. The paper concludes with a discussion of the unique role of FNPs and the multiple functions they perform within the healthcare system.
From the Paper "Considered as a non-physician provider, Anderson Gillis a Family Nurse Practitioner FNP -- a Registered Nurse who has received advanced medical training to provide a diverse range of services to patients regardless of their age, gender or..."
Abstract This paper discusses the potential threat of bioterrorism and how it could be best addressed in the State of Virginia by a family nursepractitioner. It expands on measures which include participating as a volunteer member of the Virginia Medical Emergency Corp and being active in syndromic surveillance models being utilized throughout the United States.
From the Paper "The Commonwealth of Virginia is unique in its heritage, unique in its history and unique in its people and culture. As such, it represents a unique set of challenges relative to threats of bioterrorism. Virginia's combination of urban, suburban and rural communities combined with its proximity to the capital of the United States make Virginia both a high risk state for bioterrorism and a difficult state to coordinate preventative measures or to effect emergency action as may be necessary. As a Family Nurse Practitioner in Virginia, I believe there are significant contributions that I can make. My proposed role relative to bioterrorism as an Advanced Practice Family Nurse Practitioner are twofold and both focus on the "back to basics" indicators between state and local areas; working as a volunteer at the state level while concentrating on the local area. I first believe I have the responsibility to be a volunteer medical ..."
Abstract While it has long been understood that nursepractitioners are valuable tools for the provision of quality health care in both the rural and urban setting, it is a relatively new idea that Advanced Registered NursePractitioners (ARNPs) be used in the place of physicians as hospitalists. This paper examines whether ARNPs are already widely used in the management of patients in an inpatient setting. It also questions that is the scope of their practice, and how do they feel about their practice. It asks the following questions: What major factors are related to the employment of nursepractitioners in the hospital setting? What do their co-workers, to include hospital administrators and supervising physicians feel about the quality of work these nursepractitioners provide? These questions are the basis for this research project. The writer identifies some new and interesting workplaces in which nursepractitioners may be employed, as well as identifying potential problems in their performance or pre-employment education which may well lead to a change in the state of nursepractitioner education as we know it. The writer hypothesizes that nursepractitioners are uniquely suited and eminently qualified to perform as inpatient hospitalists.
Outline
Introduction
Literature Review
Methods
From the Paper "It is almost becoming a required statement in any paper about health care that we are facing a crisis in health care delivery and it appears that we are all chalking it up to the aging baby boomer population. But this is not the whole truth. There are many medically underserved populations, from urban centers to geriatrics to rural health clinics who have nothing to do with the baby boom population, and yet contribute significantly to the lack of available health care in the United States. Financial issues are a significant driving factor, as insurance companies are becoming more careful about what they will allow. We find ourselves with more patients, sicker patients, those aging population patients that we talked about, many of whom have polypharmacy and comorbidities. We are seeing less funding for resident medical education, and these changes mean that large teaching hospitals and rural centers have smaller staffs to deal with more work. It must also be noted that recent legistlation now restricts residency work hours, so they can no longer be the used and abused workhorses they once were (Foster and Seizer, 1991). But who can fill the gap which used to be dropped on the residents or others like them? One innovation is the installation of nurse practitioner to share in the inpatient management of this population, in collaboration with the hospitalist."
Abstract This paper discusses Advanced Practice Nursing in relation to modern health care. The paper further discusses NursePractitioners, as well as Certified Nurse Specialists and compare their roles within the health are industry. Additionally, the paper examines legal issues surrounding ANPs in today's health care, and issues that are at the forefront of the nursing profession. These issues include legislation, the ability to practice freely, and educational advancements in nursing.
From the Paper "Advanced Practice Nursing (APN) is a term that refers to registered nurses that have progressed in their nursing studies beyond the basics of the nursing field. APNs often must have a Master's Degree, or Doctorate, and are often the lead health care giver in preventative and primary care. This is especially true for APNs in the cases of rural health care, clinics for the poor, and for people without health insurance ("Advanced Practice"). APNs have the ability to provide the majority of health care services that the traditional physician would because their expertise through training is extensive. There are, however, restrictions placed on APNs with regard to prescriptions, and their range of ability to give medical care through government regulations ("Advanced Practice", 2005)."
Abstract Terminally ill children and their families require attention and services that are different from those of other clinical populations. The paediatric nurse-practitioner can provide terminally-ill children and their families with crucial information regarding the status and course of the child's illness. Furthermore, the paediatric nurse-practitioner would provide families with the psychological and spiritual support required before and after the death of a terminally-ill child. This discussion centers around the position of the paediatric nurse-practitioner and the roles and responsibilities inherent to the position. A review of some of the relevant literature surrounding this position and advancednursing in general are presented. Also, theoretical approaches in regards to the practice of the paediatric nurse-practitioner are also addressed.
From the Paper "Based on areas of specialization acquired, the paediatric nurse practitioner may also act in a consultant role, in which the aim is to improve the care of patients and nursing practice regarding the patient population in question (Teicher et al., 2001). As a consultant, the paediatric nurse practitioner has the ability to analyze clinical data and discuss patient outcome with the patient and his or her family (Teicher et al., 2001). The consultant role allows paediatric nurse practitioners to enhance overall outcomes of patients through the development of teaching materials aimed at the patients and their families (Teicher et al., 2001)."
Abstract This paper explains that the rapidly changing healthcare environment requires various levels of nursing educational preparation, which involve advanced levels of competence. The author points out that the scope of practice becomes wider as advanced degrees create an impressive variety of practice settings. The paper describes many types of advancednursing, which can be completed at a university or online. The author stresses that nurses have an ethical demand to pursue advanced practices because of the professional principle of beneficence, which refers to doing well and working in the best interests of the patient and because of the more salient principle of autonomy. The author summarizes that an advanced level of nursing practice maximizes the use of in-depth nursing knowledge and skill for meeting the needs of the individual patient, family and the community.
From the Paper "The Bachelor of Science in Nursing is a four-year baccalaureate degree program for non-nurses which leads to RN licensure. The baccalaureate degree is the minimum requirement for entry into professional nursing practice. This requirement resulted from the American Nurses Association's (ANA's) position paper requesting the baccalaureate degree as the minimum preparation for practice. The basis for that degree was the observation by the ANA of significant changes in the practice of nursing, which included important theoretical formulations, scientific discoveries, technological advances, and the development of new treatments."
Abstract In this paper, the writer relates her ideas about the major concepts of the nursing profession and about nursing theory, research and practice. The writer then explains her position on the topic of a specialized clinical focus and then describes in detail the role and function of a family nursepractitioner.
Outline:
Beliefs about the Major Concepts of the Profession
Beliefs about Nursing Theory, Research and Practice
Beliefs about a Specialized Clinical Focus
Beliefs about AdvancedNurse Role Practice in Nursing Position Description
From the Paper "Human beings, their environment, health and the nursing profession possess a complex relationship where each cannot be neglected nor overemphasized. The author believes that the nursing profession is both an art and a science. Both of these are manifested in the humanistic, yet scientific grounding of interventions that aim to produce the best available evidence. Humanistic is used in the sense that many diseases can be explained by the many disciplines in the health sciences and treated accordingly; however, the nurse professional must bear in mind that it is not always sufficient to address the physical illness apart from the patient's social environment and mental state."
Abstract In this article the writer explains that the legal definition of a nursepractitioner differs between states and that the scope of practice of a nursepractitioner also varies considerably from one state to another. The writer also points out that as all nursepractitioners in every state perform physician services in critical care, they must conform to their particular state's requirements. The writer then points out that while Medicare requires that a nursepractitioner be authorized, under state law, to perform any service that is billed, state laws governing nursepractitioners' scope of practice differ to a significant degree. The writer maintains that numerous hospitals and other facilities are uninformed about the rules and procedures related to billing for nursepractitioners' services. The writer concludes that while research has indicated that nursepractitioners provide the same quality of care in acute care settings as do physicians, the same demands are made on them with the potential for legal problems.
From the Paper "The nurse practitioner's services are reimbursed through the facility fee or Diagnostic Related Group payment to the hospital. The main opportunities for billing nurse practitioner services are located in evaluation and management procedure codes. While the patient pays 20 percent of the physician fee schedule rate, Medicare pays 85 percent of 80 percent of the Physician Fee Schedule rate for physician services billed under a nurse practitioner's provider number. The American College of Nurse Practitioners maintains that this problem is the result of a problematic annual update formula so that Medicare payments to all providers of services are threatened with reductions each year. Since nurse practitioners receive just 85 percent of the reimbursement that physicians obtain, the reductions are substantial. Within the current system, payment updates for providers are linked with the U.S. Gross Domestic Product (GDP) growth."
