Abstract
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."

Tags:health, care, physician

Abstract
The paper discusses how the advance practice nurse is in a pivotal leadership position from which to serve as the key individual to plan, develop and administrate the facility while using her health care delivery skills caring for student/patients. The paper develops a business case which explores the roles and status of the advance practice nurse in relation to school nursing, the need for school-based clinics run by advance practice nurses as well as budgetary considerations.

From the Paper
"The decision was made to explore a school-based clinic within a school district at the high school level. The Advance Practice Nurse (APN) is in a pivotal leadership position from which to serve as the key individual to plan, develop and administrate the facility while using her health care delivery skills caring for student/patients."

Tags:school, nurse, clinic

Abstract
The paper discusses how advanced nurse practitioners (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."

Tags:specialist, roles, degrees, empowerment

Abstract
The paper relates that Acute Care Nurse Practitioners 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 paper discusses how the role and scope of practice for Acute Care Nurse Practitioners has become broader, but then looks at the challenges facing nurse practitioners. However, the paper asserts that as nurse practitioners continue to expand their knowledge and prove their value to society, they will inevitably be capable of overcoming these barriers successfully.

From the Paper
"Acute Care Nurse Practitioners 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. Initially the nurse practitioner had a limited role in the medical community; yet, as time has progressed that role has expanded. The scope of practice for Acute Care Nurse Practitioners has become broader, therefore, as states..."

Tags:nursing, nurse, practitioners

Abstract
The Nurse Practitioner profession was first formally accepted by health care in 1965 ("What", 2008). In the 1960s and 70s the government increased funding for NP programs due to the forecast for nursing and physician shortages in the decades to come ("What", 2008). Nurse Practitioners are registered nurses "who have completed advanced training" and are capable of "diagnosing" and treating health issues ("What", 2008). Additionally, the Nurse Practitioner has the ability of functioning as the primary care provider for patients, working closely in conjunction with physicians ("What", 2008). Nurse practitioners are leaders of health care teams and work to create an environment that is conducive to quality care.

From the Paper
Nurse Practitioner, Women's Health Introduction The Nurse Practitioner profession was first formally accepted by health care in 1965 ("What", 2008). In the 1960s and 70s the government increased funding for NP programs due to the forecast for nursing and physician shortages in the decades to come ("What", 2008). Nurse Practitioners are registered nurses "who have completed advanced training" and are capable of "diagnosing" and treating health issues ("What", 2008). Additionally, the Nurse Practitioner has the ability of functioning as the primary care provider for patients, working closely in conjunction with physicians

Tags:nurse, practitioner, edu

Abstract
This paper discusses the evolution of the role of advanced nursing practitioner. The author presents issues of the political perspective, health care reform, historical development of the nurse practitioner 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, advanced nursing practice, nurse practitioner, funding, Canada

Abstract
In this article, the writer notes that acute care nurse practitioners (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."

Tags:ACNP, practice, nursing, disease

Abstract
This paper addresses the role of a nurse practitioner in three distinct parts. First the paper describes and summerizes Calkin's Model of Advanced Nursing Practice. It follows with a description of the three Core Competencies of a Nurse Practitioner and then analyzes these competencies, including patient response, nurse skill level and knowledge from the perspective of the beginning, experienced, and expert or advanced APN.

From the Paper
"The role of the nurse practitioner and advanced nurse practitioner is often rather difficult to define. The problem arises when attempting to delegate duties and decide which such duties should be attended to by someone of such sound and advanced professional training or someone who is of the practical or technical type of nurse that makes up such a large part of nursing departments. Joy Calkin (1984) devised her Model for Advanced Nursing Practice in order to make such choices easier and more informed. This paper will first describe and summarize Culkin's model and findings. Then, three Core Competencies of a Nurse Practitioner will be identified and described."

Tags:advanced, nurse, practitioner

Abstract
The paper discusses the reasons for developing and enhancing the role of the nurse practitioner and defines the advanced practice of nursing. The paper looks at the skills and abilities of the advanced practice nurse practitioner and the issues and benefits associated with this position. The paper concludes that through proper training and education, the nurse practitioner is able to perform a critical and valuable service in the field of health care.

Outline:
Introduction
Reasons for Developing the Role of Nurse Practitioner
Defining the Advanced Practice of Nursing
Skills and Abilities of Advanced Practice Nurse Practitioner
Current Issues & Benefits of Nurse Practitioner Prescribing Role
Summary and Conclusion

From the Paper
"Reasons for developing the role of Nurse Practitioner include the reasons as follows: (1) To support the need for a better career structure for senior nurses in clinical practice; (2) To legitimize the work that many nurses have been doing in the clinical area without recognition; (3) To improve client outcomes through improved access to service; and (4) To allow autonomous practice within a collaborative multidisciplinary team, rather than to encourage 'independent' nurse practitioner business. (Eastern Health Organization, nd). It is reported by Jones (2004) in the work entitled: "Nurse Prescribing that as the role of the nurse practitioner became established and successful the federal government saw that preparing nurse practitioners to alleviate the shortages of medical providers in primary care...would be more cost-effective than preparing physicians and would provide primary care to patients in a more efficient manner." (Jones, 2004, p.293) The National Council of State Boards of Nursing states that the demand for the practice in rules which are advanced with autonomy at greater levels. Therefore, members boards are stated to identified regulation of advanced nursing practice as being that which presents "some of the most critical challenges that the Boards of Nursing face when considering responsibilities of personal protection and developments which affect regulation. Stated is that the "evolution of nursing practice has produced an increasing body of knowledge as well as multiple levels of nursing practice." (National Council of State Boards of Nursing, Inc, 1993) In response regulatory systems have been developed for authorization of advanced practice of nurses as well as providing guidelines and requirements for professional certification."

Tags:prescriptions, patients, care

Abstract
The paper provides a discussion on the relationship a medical professional has with his or her patients, and how ethnicity, gender and all types of culture affect this relationship. The paper then looks at why it is easier for a nurse to address the problem of obesity in young people than in those advanced in years.

From the Paper
"For nurse practitioners, there are a lot of gender, cultural, and ethnic issues to be dealt with. Like it or not, society today is still somewhat divided along these kinds of lines, and that means that there are many people who are hesitant and uncomfortable in the ways that they work with others because of their gender, the color of their skin, where they come from, or other factors (Paniagua, 1998). A nurse practitioner is different from a nurse in that a nurse practitioner has more schooling and experience and he or she is able to do more for a patient without requiring the authorization of a doctor. With new responsibilities, however, come new headaches. There are fewer people that the nurse practitioner can rely on to buffer the things that he or she might have to say to a patient, and there are fewer reasons that the nurse practitioner can use to avoid certain types of patients or certain types of discussions (Hersoug & Havik, 2001). Ethnicity, gender, and all types of culture must be respected as much as possible, but this is not always an easy task."

Tags:ethnicity, gender, culture, diet, weight, health