An investigation of the use of advanced registered nurse practitioners in an in-patient hospitalist setting.
Written in 2005; 3,120 words; 10 sources; MLA; $ 90.95
Paper Summary:
While it has long been understood that nurse practitioners 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 Nurse Practitioners (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 nurse practitioners in the hospital setting? What do their co-workers, to include hospital administrators and supervising physicians feel about the quality of work these nurse practitioners provide? These questions are the basis for this research project. The writer identifies some new and interesting workplaces in which nurse practitioners 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 nurse practitioner education as we know it. The writer hypothesizes that nurse practitioners 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."
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