Family Nurse Practitioner Case Study

Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.

Nurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.

What is the projected demand for workers in the health care field over the next 20 years? The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse midwives who can deliver basic primary care to patients without access to primary care physicians. How does the aging of the population, health insurance reimbursement, and consumer demand impact the practice patterns of health care clinicians? A physician shortage is expected by 2020, primarily driven by the demand for physician services.

After reviewing Healthy People 2020 goals for maternal, infants, and child I can see that an APN can play many different roles to achieve these goals. The main role of an APN in the primary care setting is of educator, patient’s advocate, and care coordinator. As a primary care provider, an APN plays an important role in health promotion and disease prevention across the life span by supporting and providing needed education and information. APNs also facilitate quality care and provide treatments to improve the quality of life, reduce pain, suffering, and prevent further progress of the disease. There are several ways an APN can help achieve Healthy People 2020 goals for maternal, child and infants health.

Despite accepting advanced roles and responsibilities APRNs have often encountered various barriers in the delivery of effective health care based on the variability in the legislative requirements endorsed by various states. To overcome these barriers and improve the delivery of healthcare the Consensus Model for APRNs has been endorsed by 41 various nursing organizations focusing on defining the roles, population foci and implementation strategies across the nation (American Nurses Association [ANA], 2017). Creating a standard expectation regarding the practice of APRNs will help to foster more consistent, quality education APRN programs nationwide (Rounds, Zych, & Mallary,

Educational Preparation of Clinical Nurse Leader (CNL) The vision for the Clinical Nurse Leader CNL role began in 2003-2004 in response to the Institute of Medicine’s quality and safety reports. In 1999, the Institute of Medicine released its report, To Err Is Human: Building a Safer Health System, which called on health care systems to reduce medical errors and improve patient safety. In 2002, the Robert Wood Johnson Foundation called for developing new practice models and enhancing collaboration between education and practice, and in 2003, the Institute of Medicine released its set of five core competencies that all clinicians should possess, regardless of their discipline, to meet the needs of patients in the 21st-century health care system. The Clinical Nurse Leader (CNL) is a master’s educated nurse, prepared for practice across the continuum of care within any healthcare setting.

Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and

The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,

After many weeks of researching in-depth information pertaining to a Pediatric Nurse Practitioner (PNP), researchers will discover that there are various career paths one can seek with a Bachelor’s of Science in Nursing (BSN) degree, which is needed to start one’s difficult journey towards becoming a Pediatric Nurse Practitioner (PNP). Pediatric Nurse Practitioners (PNPs) can work with toddlers, adolescents, and young adults in an acute or primary care setting. A Bachelor’s of Science in Nursing (BSN) degree will pave a clear path, that will help guide a Registered Nurse (RN) in the direction needed to acquire a master’s degree with a concentration in Pediatrics. As the birth rate increases, Pediatric Nurse Practitioners (PNPs) should feel assured that they will withhold a job. That is why pediatric clinics and pediatric hospitals are built, so that parents can be ascertained that their kids are receiving the best aids available.

I just completed my Bachelor of Science in Nursing and look forward to exploring nursing theory, evidence-based practice and leadership even further in the advance practice curriculum. I am pursuing family nurse practitioner because it will allow me to be more versatile in my nursing skills and serve a larger patient population. There has been a focus on primary care medicine since the Affordable Care Act; resulting in a larger need for nurse practitioners required to care for this patient population. I have been granted an opportunity to advance my career and I am more than ready to take on the added responsibilities and handle treatment plans autonomously, as well as learning additional skills such as diagnosing and prescribing medications. By obtaining my graduate level education my clinical judgment would be enhanced to improve safety, quality of care and patient outcomes substantially.

One of the first discussed was the number of patients that a physician at a community clinic was expected to see daily. The physician in the film maintains that she is constantly scrutinized by administration to increase her productivity. The physician however does not feel that increasing the number of patients she sees allows her to properly care for her patients. She is more concerned about the quality of care she provides versus the quantity of patients she sees. She gives this as a reason for her quitting this job.

APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with

I am in my third year of nursing and I am currently working in a hospital on an Orthopedic Neurological Trauma Unit. I collaborate with patients to identify the prominent health issues they are experiencing and advocate to ensure the care they receive is the most effective for their healing process. Patient interaction, learning new skills and evidence based practice, and being hands on with patient care are the benefits of my job that I enjoy the most. I form a bond with these patients and listen to their personal story to ensure that I give care individualized for each patient. As a Family Nurse Practitioner, I can connect with patients of various age ranges and diagnoses by applying these