NSG 517 What is an NP?

NSG 517 What is an NP?

NSG 517 What is an NP?

It is my intention to further my nursing career. As a Nurse Practitioner I can utilize my skills that I have acquired with my hands on experience as a registered nurse. The educational path is marginally different to become a nurse practitioner than it would be for your daughter in medical school. My education is focused primarily on specializing in an area of nursing, therefore the responsibilities I hold as a practitioner are far less than the responsibilities of your daughter becoming a MD.

Both of our career paths involve furthering education and special certifications. Both specialties encompass a variety of clinical care specialties such as psychiatrics, pediatrics, and acute care etc. It is our job as professionals to utilize the most up-to-date evidence in our settings when dealing with patient care to ensure the best outcomes possible for our patients. It is not my intention to pretend I am anything. It is my hope to work alongside providers in a multidisciplinary setting to allow for a variety of insight on how to treat populations.

Resources:

What’s a nurse PRACTITIONER (NP)? American Association of Nurse Practitioners. (n.d.). Retrieved September 10, 2021, from https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner.

That’s a great response, well-articulated and to the point. I like that you didn’t try to defend the profession but put it in perspective that’s easier to understand so that the physician would feel appreciated. As advanced nurse practitioners, we build on our registered nurse expertise and use nursing skills to offer the best care for our patients at a lower cost. The video included in this week’s resources was good at explaining why NPS; she stated that some of her patients didn’t have health insurance, therefore, would go for advanced procedures, so working with them to ensure that their health is catered was an objective.  have friends who had done this program and most of them work in lowe income areas that have no primary care physicians. NPS does focus on health promotion, disease prevention, and health education and counseling. NPS guides patients in making more competent health and lifestyle choices, lowering patients’ out-of-pocket costs(www.aanp.org)

References:

http://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner

This is a great response to a very difficult statement made by a patient. When reading through the scenarios, for me this was the one that was the most difficult for me to try to decide how to respond. I feel in this case it is important that we also educate patients on the shortage of medical providers and how APRN can aid in helping with this shortage. Studies show that around 80 million people live in areas where there are heath professional shortages. These areas have a ratio of 3,500 patients per 1 provider. Patients in this area have less chance of receiving prevention services, screenings, immunizations, and basic care for sickness and infections. Due to this they have negative health outcomes (AANP, 2019). Nurse practitioners are trained to assess and diagnose patients, order and interpret diagnostic tests, and prescribe medication. Eighty-five percent of nurse practitioners train to work in primary care. Primary care has the biggest shortage of medical providers in rural communities and studies show that the majority of nurse practitioners settle in these communities (AANP, 2019). Studies support that nurse practitioners will aid in decreasing the medical provider shortage and increase the availability of healthcare services to patients.

There’s a primary care shortage in this country. (2019). AANP. Retrieved from https://www.aanp.org/news-feed/national-nurse-practitioner-week-nps-are-key-to-providing-better-rural-care

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I enjoyed reading your response, it really helped to capture what a nurse practitioner is and I can relate to the

NSG 517 What is an NP
NSG 517 What is an NP

personal motivators for choosing this career path. I currently work in primary care doing triage. I often have patients who will call in for an appointment and state, “I only want to see a doctor and not an NP.” I also think to myself why this is and feel that in many cases it may be a lack in education on what an NP is and how much they can do. NPs are becoming a popular choice for patients when receiving healthcare. They work along side other healthcare professionals to provide patients the care they need and can work in a variety of setting.  According to the AANP, “What sets NPs apart from other health care providers is their unique emphasis on the health and well-being of the whole person” (2021). NPs are important to the healthcare system because they are mentors, educators, researches, and administrators.  They also lower health care costs for patients while still providing high-quality care. Every year NPs make 1.06 billion visits and patients report an extremely high level of satisfaction with the care they are receiving. Lastly, the provide more than 325,000 solutions to the primary care shortage (AANP, 2021).

What’s a nurse practitioner (NP). (2021). AANP. Retrieved from https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner

Advanced Practice Nurse Practitioners have advanced skills and experience in undertaking different healthcare activities. Advanced nurse practitioners have diverse roles in the delivery of healthcare processes (Fawkes & Moore, 2019). They are able to influence different diagnosis and treatment processes through development of effective policies and research processes. Undertaking further nursing education is necessary in ensuring acquisition of knowledge and skills necessary for one to become advanced practice nurse practitioner. Today, there are a number of complications that ought to be managed in the healthcare settings. Nurse practitioners work in many settings including primary care, acute care and gerontology . Advanced Practice Nurse Practitioners often assume independent care positions as nurse-midwifes and nurse practitioners (Tracy, 2019). These roles are always reserved for the healthcare experts with advanced qualifications. A career as a nurse practitioner can lead to specialization in different areas of practice. As you mentioned, the educational path for NPs and MDs are different.  Medical school is longer and require a more rigorous studies as doctors hold a higher level of responsibility and a wider range in scope of practice.

References

Tracy, M., O’Grady, E. (2019). Hamric and Hanson’s advanced practice nursing: An integrative approach. St. Louis, MS: Elsevier.

Fawkes, K., & Moore, J. (2019). Newly registered nurses’ experiences of delivering patient education in an acute care setting: an exploratory study. Journal of Research in Nursing24(8), 556-567. https://journals.sagepub.com/doi/abs/10.1177/1744987119869770 (Links to an external site.)

This is an interesting and far too common scenario that most of that decide to go the graduate route encounter. When I graduated with my BSN, one of my mother’s friends congratulated me for finally graduating as a doctor. This is because I started out as an LPN then went on to get my Associates RN. So naturally it seemed to him that I was in Medical school and was finally graduating as a doctor. I like that you explained the APRN role and included the other advance practice nurses of Nurse Midwives, Nurse Anesthetists and Certified Nurse Specialist. As a registered nurse, I have come to highly encourage my family members to embrace the roles and services of nurse practitioners where possible. This is because care provided by APRNs has been found to affect care outcomes positively. The four APRN roles have been found to provide effective and high-quality care that was similar to and way better than that provided by physicians. For CRNA, there was equivalent number of complications rates compared to that of physicians. Care provided by Certified Nurse Midwives resulted in lowered cesarean sections, less use of epidural medication, lower episiotomy rates and higher breastfeeding rates.  Nurse Specialists additionally resulted in lower costs of care, higher satisfaction rating and a decreased length of hospitalizations. Nurse practitioner driven care resulted in more effective blood glucose and lipid level control (Tracy et al., 2019).

In a study conducted at the Hague in Netherlands, it was determined that emergency room Nurse Practitioners showed high diagnostic accuracy of 97.3% for patients presenting to the ED with injuries. This is a high accuracy level that showed no significant differences between nurse practitioners and physicians related to diagnoses of injuries and management in the emergency room (van der Linden et al., 2010). This goes to show a high level of confidence for nurse practitioner driven care, patients can confidently and comfortably seek the services of a nurse practitioner knowing that they will receive expert care given in collaboration with the/their physician.

References

Tracy, M. F., O’Grady, E. T., Hamric, A. B., & Hanson, C. M. (2019). Hamric and Hanson’s Advanced Practice Nursing: An integrative approach. Elsevier.

van der Linden, C., Reijnen, R., & de Vos, R. (2010). Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries. Journal of Emergency Nursing, 36(4), 311–316.