NURSE PRACTITIONERS HAS A PRIMARY CARE PROVIDERS
Primary care is usually the patient’s first contact with the treatment system, according to chapter 1 of Barton, Roemer’s model of a health services system defines primary care as the entry point into the health services system where diseases are diagnosed and initial treatment is provided, episodic care for non chronic illness and injuries is rendered, prescription drugs to treat common illness are provided, routine dental care done and potentially serious physical or mental health conditions that require prompt referral for secondary or tertiary care are diagnosed.
A nurse practitioner is a registered nurse who has achieved an advanced level of education and training with a master
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It should be noted that NPs do not receive the same administrative and clinical support as physicians to deliver care (Bryant-Lukosius, DiCenso, Browne, & Pinelli. 2004; Martin, 1999). In primary care settings staffed with physicians, various staffing configurations exist ( Tache & Hill- Sakurai, 2010). But physicians always have support from Medical Assistants and the ratios from medical assistants to physician staffing ranged from .75 to 1.25 when ordering lab work or drawing blood and this will affect efficient flow of clinic and patient satisfaction. Through a research it was founded that the patients of NPs were older and sicker at the time of discharged and that readmission and mortality rates were high. NPs basic knowledge of medical science is extremely weak, they only have experimental knowledge and very little of the underpinning principles of medicine and these can put the life of acute patients in detriment and increase the mortality rate. With their care in the clinic and patient transferred to the hospital it create lack of continuity because it is the physician that will now see the patient and this lead to negative outcomes and confusion to patient. The training is not the same even if the NPs put more years in school. Texas physician Gary Floyd opposes giving nurse practitioners too much autonomy by arguing that “Nursing schools push a ‘care and comfort’ approach to giving care.” Floyd, who