Nurse Practitioners Research Paper

Great Essays
Barriers that prevent Nurse Practitioners from practicing in Long Term Care Facilities
Nancy Marshall

A thesis presented to the School of Graduate Nursing
Mountain State University
In partial fulfillment of the requirements for the degree
…show more content…
Eisch and colleagues conducted (2000) a one year study in the south central tier of New York. The study was conducted in an area that was primarily a middle class, low density area. They had five nursing homes to participate in the study. A nurse practitioner psychiatric consultation service was established to provide residents of five nursing homes with on-site assessment and follow-up treatment for behavioral and psychiatric problems. During that time 175 residents were referred by nursing home staff for agitation, disruptive behavior, depressive symptoms, or decline in activities of daily living. An outcome evaluation documented that the NP recommendations resulted in positive behavioral changes in 62% of residents (Eisch, Brozovic, Colling, & Wold, …show more content…
V (2006). Physician practice in the nursing home: Collaboration with nurse practitioners and physician assistants. Annals of Long Term Care, 14(3), 17-24. (Dehn R W 2008 Physician shortage predictions and their implications)
(Colwill J M Cultice J M Kruse R L 2008 Will generalist physician supply meet demands of an increasing and aging population?)Colwill, J. M., Cultice, J. M., & Kruse, R. L. (2008). Will generalist physician supply meet demands of an increasing and aging population? Health Affairs, 27(3), 232-241. (Johnson R W Toohey D Wiener J M 2007 retirement project)Johnson, R. W., Toohey, D., & Wiener, J. M. (2007). The retirement project. Washington, D.C.: The Urban Institute. (Nieswiadomy R M 2008 Foundations of nursing research)Nieswiadomy, R. M. (2008). Foundations of nursing research (5th ed.). Upper Saddle River, NJ: Pearson.
Pearson, D., & House, J. B. (2002). Barriers to developing the nurse practitioner role in primary care-the GP perspective. Oxford Journals, 19(6), 641-646. (Plager K A Conger M M 2007 Advanced practice nursing: Constraints to role fulfillment.)Plager, K. A., & Conger, M. M. (2007). Advanced practice nursing: Constraints to role fulfillment. The Internet Journal of Advanced Nursing Practice,

Related Documents

  • Superior Essays

    Nurses have one of the most important jobs in the world and they make a difference in people 's lives every day. Nothing is more rewarding than the joy on the patient’s face after being released from the hospital. Nurses receive satisfaction knowing the impact they have on individuals and their families. However, to become a nurse one must survive rigorous classes and pass the dreaded NCLEX-RN exam. There are four different types of degrees in nursing: Bachelors of Science in Nursing, Masters of Science in Nursing, Doctorate in Nursing, and a PhD in Nursing.…

    • 1079 Words
    • 4 Pages
    Superior Essays
  • Superior Essays

    Sallie Mae Fisher

    • 1089 Words
    • 4 Pages

    Sallie Mae Fisher Case Study Many elderly patients do not have the proper support for their personal needs and medical diagnosis. If an elderly patient is provided with a thorough education on their diagnosis it can lead to positive health outcomes. In like matter with the proper support of nurses provided at home for the patient, medical errors can also be prevented. The purpose of this paper is to discuss Sallie Mae Fishers home visit with four problems identified based on substantiate findings, and four nursing interventions with rational for interventions.…

    • 1089 Words
    • 4 Pages
    Superior Essays
  • Decent Essays

    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.…

    • 234 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Introduction Advanced practice registered nurses (APRN) are a vital part of the health system of the United States. APRNS are Master and post Masters level nurses providing care in specific roles for the patient population. APRNS are prepared by education and certification to assess, diagnose, and manage patient problems, order test, and prescribe medications. (National Council of State Boards of Nursing, n.d). Lyder (2012) discussed the growing need for an increased number of primary healthcare providers due to the shortage of primary care providers.…

    • 1074 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Nurse Practitioners, Primary Care Physicians and Physician Assistants Who Treat Diabetes Savvy people with diabetes have a dedicated health care team to help them develop and maintain good lifestyle habits. This team includes nurse practitioners, primary care physicians and physician assistants who treat diabetes. Learn what role each of these important team members plays in the ongoing care and treatment of diabetes. Your primary care physician (PCP) is the doctor you see for general checkups and when you feel sick.…

    • 702 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Nurses are responsible for obtaining and maintaining specific knowledge and skills for different professional roles and responsibilities. The professional roles are: Caregiver, Educator, Advocate, Communicator and Manager. These roles are developed because of the need for greater levels of professional competency and expertise. They enable the nurse achieve the best possible patient care outcome in the least amount of time and resources. The developments resulted as a response to the ever-changing and increasing complexity in the healthcare systems which are due to new regulations, accreditation processes, professional standard, increased accountabilities and financial priorities.…

    • 162 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    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.…

    • 413 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Health Empowerment Theory

    • 471 Words
    • 2 Pages

    List the concept you have chosen and a theory using this concept [use the list of concepts to get you started] My concept is empowerment. I will focus on empowering elderly adults living alone in the community to live quality life by using both internal and external environment to meet their health goals. Myra Levine conservation theory supports my concept. In her theory, individual’s energy is conserved to help them meet their goals with the least effort possible (McEwen & Wills, 2014). The theory includes the principle of conservation of: energy, structural integrity, personal integrity, and social integrity, all of which are necessary in helping elderly achieve quality life.…

    • 471 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Agcp Personal Statement

    • 505 Words
    • 3 Pages

    Although FNPs fill an important role in our health care system, focusing my studies and practice on gerontology will allow me to better provide for the older adult population. My first semester clinical site was on a medical-surgical floor in Medical Center North, and most of the patients on that unit are older adults who were from surrounding rural counties. Throughout this rotation, my patients taught me the immense difficulty of managing chronic disease on top of working, parenting, and maintaining quality of life, especially when providers are inaccessible. Meeting with residents at Cumberland View Towers for Community Heath has re-enforced the complexity associated with primary care in older adults. As health issues increase in complexity and resources decrease, it is difficult for patients to…

    • 505 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Beliefs On Aging

    • 763 Words
    • 4 Pages

    And, at the same time, “Inquiry into and curiosity about aging is as old as curiosity about life and death itself” (Ebersole & Hess, 2016, p. 19). As the number of the older population increases, nurses have to ensure that the evolving needs of the elderly are considered in the provision of their care. “Given the ageing … population, nurses will need to spend more of their time caring for older people. This constitutes a potential problem for the provision of health care to older patients if nurses’ attitudes towards working with this patient group have an impact on the type and quality of care provided” (McKinlay & Cowan, 2003, p. 299). Thus, the passage of the Affordable Care Act of 2010 had underscored the new roles of nurses not only in the acute care setting, but more so in the community (Ebersole & Hess, 2016).…

    • 763 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The Importance Of Nursing Values In Nursing

    • 1436 Words
    • 6 Pages
    • 13 Works Cited

    Nurses are champions in adapting to change and identifying creative measures to help modify their practice, so it is not surprising that they are eager to meet these challenges head on. The assumption has been made that the delegation of physician care to FNPs will lead to better use of resources, however nurses must continue to be mindful of the possible risks and implications that may accompany these demands. Sacrificing nursing values cannot be tolerated. It continues to be a slippery slope as nurses cross the line into a medical role while maintaining a nursing framework. Having a concrete understanding of nursing theory and nursing values will help preserve the nursing identity during the newest healthcare…

    • 1436 Words
    • 6 Pages
    • 13 Works Cited
    Great Essays
  • Improved Essays

    This knowledge allows nursing home administrators to implement the necessary nursing care, drug administration or rehabilitation to successfully treat a resident or improve their standard of living. Communication skills and very important and clinical experience in bedside manners are essential for working with residents with possible mental impairments. Nursing home administrators act as the patient’s liaison between staff and doctors. They must ensure quality care for a resident by communicating instructions or results as needed from both parties, while also ensuring frequent visits by nurses and physicians. They also have to utilize their effective communication skills to navigate the emotional dynamics associated with counseling residents and their families in the transition to nursing home care.…

    • 734 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    APRN Role

    • 1167 Words
    • 5 Pages

    As a future advanced practice registered nurse (APRN), it is essential I understand my role and the impact I will have not only within my community, but at the state and national level as well. I will use my education and clinical training to develop the necessary skills to assess, diagnose and treat patients. It is essential as an APRN, I develop a plan of care that incorporates health promotion and disease prevention strategies. Lastly, my goal is to integrate a Christ-centered worldview approach into my daily practice. My purpose as an APRN is to be influential in all aspects of my patient’s life.…

    • 1167 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The demographics of the United States have continued to change over the last ten years. During the next two decades, the aging population stands to significantly increase as the baby boom population transitions into the senior population. In 2011, the first of the baby boomers began entering the age of 65. The last of the baby boomers will turn 65 in 2030. In 2012, those 65 and older made up 13.7% of the total population.…

    • 298 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    McCrae Article Reaction Paper The struggle for nurses to gain recognition for a well-developed theoretical framework in their practice has until this day been a difficult challenge. The article by McCrae (2012) stated many different factors that explain why or how the models of nursing fail to bridge the gap between theory and practice. This essay will describe some of those challenges.…

    • 721 Words
    • 3 Pages
    Decent Essays