Laughlin reported the evolution of the nurse role in a primary care setting as a member of the treatment team for chronic illness. Laughlin summarized “the RN in the patient’s primary care setting is uniquely qualified to assess the broad spectrum of needs that patients with chronic conditions may present, and to determine, in partnership with the patient, a plan of action, coordinating other resources that may be beneficial” (p. 414). The author discusses the methods and outcomes of several studies conducted to support the role of nurses in the improvement of care provided for patients with chronic illness. Studies discussed utilizing the chronic care model and patient centered medical home principals. The author pointed out the need for…
The family nurse practitioner’s role requires many skills or competencies. The FNPs must be able to diagnose, treat and manage patients with chronic or acute illnesses. (Poronsky, 2013) FNPs must have the ability to prescribe both pharmacologic and non-pharmacologic treatments such as physical or occupational therapy to patients. Conducting physical exams, interpreting medical history, and ordering and performing diagnostic tests, screenings and procedures such as suturing are crucial skill sets for the FNP. In addition, FNPs must be competent in educating and counseling patients on risk factors and prevention measures to avoid…
Gill, I like that you’re giving the physicians some slack here. It is true that the shortage of physicians in healthcare has impacted the focus of on how to go about patient care. The addition of nurse practitioner will provide an increase in physician and will help to alleviate this problem. In an article by Sangter-Gormley, Frisch, and Schreiber (2013), the author state that the nursing background of NPs allow for an increase in healthcare that is holistic. Nurses are taught to spend time with the patient enabling to get the full picture of all the factors that may be impacting an individual’s health.…
Education and Training: Family Physicians and Nurse Practitioners. Retrieved from http://www.aafp.org/dam/AAFP/documents/news/NP-Kit-FP-NP-UPDATED.pdf American Nurses Association. (2014). Barriers to NP Practice that Impact Healthcare Redesign. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html#AMA American Nurses Association.…
Family Nurse Practitioner vs. Nurse Administrator There are many various roles within healthcare that one can choose as a career path. Many choose a route that directly impacts patient care via treatment care plans while others choose to collaborate with other disciplines through an indirect patient care profession that impacts and improves the patient’s overall care experience. Regardless of the route, the goals in healthcare are the same, to provide safety and the highest level of patient-centered quality care (American Organization of Nurse Executives [AONE], 2015, p. 3). Direct and indirect care roles are both beneficial and provide services to patients but do so in differing manners.…
The role of Nurse Practitioner (NP) is among the four recognized Advanced Practice Registered Nurse roles. NPs are independent practitioners with prescriptive privileges, and are found in a variety of healthcare settings, including hospitals, family and specialty practices, as well as in nursing homes. Additionally, and importantly, in these times of corporate driven medicine, NP’s can bill and be reimbursed for services rendered (McClelland, 2014). The four concepts of the nursing metaparadigm; health, person, environment, and nursing practice, overlap and combine to form the foundation for nursing knowledge, theory and practice at all levels including the advanced clinical practice level (Bender & Feldman, 2015).…
During my job search for a job in the healthcare field, it was a very stressful and tiring. I applied for a patient care technician position at The Little clinic inside of Kroger. I was delighted to receive the call from the manager for an interview. A few weeks, I gotten the job, and went to orientation. As soon as I’ve gotten out of orientation, I started to see the true colors of the company.…
Nursing is a work of art that conveys the opportunity to inspire and influence a individual at the furthermost susceptible measures of his or her life. Advanced practice nursing provides tools and abilities to further help patients reach goals; they provide a stationed preparatory basis for patients to succor in the progressive expansion in achievable goals and their existing health status. An Advanced Practice Nurse holds an immense amount of responsibility for continuing, improving, and building upon the legacies left to us by Florence Nightingale, as well as the other notable nurse theorists who have helped provide patient care frameworks. The role as a nurse practitioner is one that is multifaceted. Nursing not only evaluates the individual,…
APRNs are a highly respected and integral part of the healthcare system. They have the necessary knowledge and skills to care for patients in the absence of any other providers and can tremendously improve access to health care in rural areas of the jurisdiction. While most NPs practice in primary care, many NPs practice in a variety of healthcare settings, including hospitals, nursing facilities, clinics and private practices. By allowing NPs practice independently, it will allow patients direct access to the services. Therefore, Extending the ability of NPs to deliver services in more situations and more areas of the state.…
It is a nurse practitioners responsibility to practice using proper judgment based on training and knowledge. Services that are not appropriate or recommended should be avoided. Nurse practitioners should be cognizant of the services that will be reimbursed in their state, those that require supervision, and awareness of patients that would be more financially beneficial to be cared for by a physician. Nurse practitioners continuing to provide high-quality care will be of utmost importance in aiding the reform of the current laws that deter autonomy and full reimbursement of nurse practitioners. Nurse practitioners need to be aware of the changes that their peers are attempting to make and support them in their efforts.…
Nurses contribute with the physician role, when providing quality care to the patient and family in the health care environment setting, especially in primary…
One thing that I have learned is the importance of documentation and research to the future role of advance practice nurses. Advanced practice nurses, themselves, play a huge role in the outlook of this field. “We would all do well to remember this underlying philosophy of NP practice, then acquire and utilize skills that honor our nursing roots while providing the highest quality primary care”, Berg, Hicks and Roberts, 2017). Not only does quality of care impact the nurse practitioner (NP) profession, so does ethics and professionalism. Nurse practitioners have an obligation of acting as stewards in the NP role.…
Blackwelder says that “patients must have access to primary-care physicians whose training provides a depth and breadth of medical knowledge that ensures accurate diagnoses and appropriate treatment plans for complex symptoms.” Blackwelder also talks about “Team-based primary care in the patient-centered medical approach is integral to moving away from procedures-based system that only responds to illness and toward an outcomes-based system that focuses on preventing illness, limiting complications and maintain chronic conditions, and even supporting health.” Overall, Reid Blackwelder gave a persuasive and strong argument in siding with no, nurse practitioners should not treat patients without the supervision of a…
Nurse Practitioner in Nursing Home Nurse Practitioners are registered nurses who provide a wide range of preventive and acute health care services to individuals of all ages. They develop their skills through advanced education and clinical training and work autonomously or in collaboration with other health care professionals. Nurse practitioners play an integral role in nursing homes. In the current health care system there is an increase focus on the role of nurse practitioners to provide medical care to nursing home patients. The Nurse Practitioner in Long-Term Care addresses the growing trend to utilize the nurse practitioner in the skilled nursing facility (SNF) to manage patients in long-term care and serves as…
Advanced practice nursing (APN) reflects the combination of graduate education and nursing. Within advanced practice nursing, Nurse Practitioners (NPs) have become one of the four major roles for nurses. Throughout history, NPs have been and are called to serve by gathering patient histories, performing physical exams, ordering procedures, diagnosing, treating, and managing disease, and prescribing medications and making referrals. In correlation to the servitude of NPs, Jesus taught us how to act, how to serve, how to reflect the grace of God in all that we do. He gave us the Beatitudes.…