The Ontology of SNPPM is about studying the role of NPs in the healthcare setting and how they can still maintain their nursing knowledge and identity while working in variety of health care settings. The epistemology of the theory is based on theories from different disciplines that were reformulated to express a philosophical approach to SNPPM. According to Shuler, the primary theoretical basis was based on wellness nursing theory by Clark and nursing process (Shuler & Davis,…
The article also talks about several studies where patient cared for by NPs has better outcomes involving their health and overall quality of like.…
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).…
They are prepared in many aspects such as management, research and scholastically. The APRN must advocate and become involved in improving the profession. They must educate entry level nurses, the public and policy makers to truly make a change in the way policy is driven. The MSN and DNP nurse can bring research and best evidence based practices to the table, which certainly affects the way care is provided. Hain and Feck (2014) state that the NP must take a “outcome driven approach to care” by presenting innovating NP models of care, and showing that those models lead to improved outcomes in patient populations (Hain and Feck, 2014).…
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.…
With the growing complexity of health care and diminishing availability of primary care physicians, many patients are seeing family nurse practitioners for their primary care needs. Therefore, the need for the nurse practitioners (NPs) becomes a must in the healthcare system. With the increased number of older adults, in merging of the new technologies into the healthcare system, the immerging of certain chronic and infectious diseases, all of these aspects have challenged us to re-examine the way health care system is operated and to make new changes. One of the changes that can make into the health care system is to let the PNs in playing their role in patient care management. The role of the nurse practitioners (NPs) in the healthcare industry…
The evaluation of the effectiveness of the plan of care was not done. The patient outcome was not satisfactory. IOM reports say “nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States” (American Sentinel University, 2011, para. 1). Nurses should work as a leader. Nurses should collaborate with other health care team members and make a plan of care.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
Clinical Nurse Leader Introduction and Background The CNL is a master’s prepared registered nurse trained as a generalist who will provide clinical leadership in the emergency department (ED) at the point of care (Reid & Dennison, 2011). In conjunction with the unit manager and educator, the CNL will contribute leadership and knowledge at the microsystem (unit) level (Perry, 2011). The CNL will improve patient quality and safety outcomes via addressing organizational needs and assisting in the redesign of care delivery in the ED. In addition, the CNL, as a conduit between leadership, clinical staff, and providers, will improve staff and provider relationships.…
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…
Introduction Formulating the necessary requirements to undergo evidenced based practice, within an organization it is integral to aspect differing response to change. Forecasting potential obstacles, hardship and patient response to change can be a relatively difficult undertaking, implementing the Organizational readiness for evidence-based practice tool proves to be a formidable way to assess organization readiness. Within the following passages this writer plans to review in word form, her organizations readiness for evidence based practice implementation. The overall goal to this assessment is to discover issues that distress the approval or dismissal of evidence-based practice (EBP) changes and alterations in nurse manager and staff nurse discernments about those factors (Gale & Schaffer, 2009).…
This knowledge enhanced to make care plan more patient centered. The care provider had to change their whole thought process to accommodate this evolution in care. In an article titled Patient Centeredness, Cultural Competence and Healthcare Quality the author’s emphasis a quote from Lipkin in 1984 which states “practitioners who are patient centered have specific knowledge, attitudes, and skills” (Somnath Saha, Mary Catherine Beach, Lisa A. Cooper, 2008). Nowadays, the process of understanding the patient needs begins the minute the healthcare provider's eyes are laid upon them. Nurses are designed to observe and use various techniques of communication to aide in discoveries to help evaluate health issues as well as emotional wellbeing.…
The purpose of this paper is to define the concept of patient-centered care and to explain how nursing education, nursing practice, and nursing research are incorporated into patient-centered care. I will also be addressing the knowledge, skills, and attitude that are required by nurses in order to maintain a satisfying relationship with their patients. “Patient-centered care is the focus on the patient’s needs, patient control, and the interaction between the patient and health care provider” (Dabney & Huey-Ming, 2013, p. 1). Patient-centered care is defined as a mutual beneficial relationship between patient and health care providers with the shared goal of enhancing the patient’s wellbeing. Patient-centered care is believed to be a well-rounded…
In regarding to standards, rn should treat pt individually and respect variety and provide pt concerned care, to achieve better outcome for pt. In regarding this, nurses are suggested to practice with patient centered care. According to …, pt centered care refers to putting patient at the center of decision making and considering patient’s preference in in planning, developing and monitoring care to make sure it meets their needs. Patient-centered care can generally be practiced in many aspects, including but not limit to eliciting and respecting patient preferences, engaging patients in the care process, treating patients with dignity and designing care processes to suit patient needs. In general, the most central part of patient-centered care is respecting and considering for patients’ needs and preferences when providing care.…
According to Potter, Perry, Stockert, and Hall (2017) the nursing process (NP) is a five-step clinical decision-making approach, whose purpose is to diagnose and treat human responses to actual and potential health problems. Nurses utilize a wholistic approach to care by providing each patient under their care with individualized care that focuses on the patient’s unique needs with the intention of solving the multiple problems that each patient faces. This paper will provide a description as well as highlight the importance of each stage of the NP. The first stage of the NP is the assessment stage. Potter and Perry et al (2017) define assessment as the deliberate and systematic collection of information about a patient to determine his or…