The significant state-to-state variation of ARNP scope of practice creates some formidable barriers to the continuing advancement the profession, especially in the realm of autonomy. The impact of these variations include impeding acceptance of advance practice nurses as primary practitioners, both with organized medicine, as well as with insurance payers. In fact, even in states that grant ARNPs full autonomy, some payers impose more restrictive requirements and require APRNs to bill for their services under a physician’s name, or reimburse at a lower rate (Hain & Fleck, 2014). The disparity from state to state also has federal agencies, like the Federal Trade Commission, investigating their role in the regulation of the nursing profession…
Leukemia is a neoplastic disease that involves the bloodforming tissues of the bone marrow, spleen, and lymph nodes. In…
The evidence-based practice guideline that I chose is titled, “Myocardial Infarction,” written by the Finnish Medical Society Duodecim. The intended users for this guideline are health care providers and physicians. The target population is individuals with suspected or known myocardial infarction. The objective of this guideline is to “collect, summarize, and update the core clinical knowledge essential in general practice” and “describe the scientific evidence underlying the given recommendations.” (Finnish Medical Society Duodecim, 2008)…
Take with food. Don’t take with other NSAIDs. Monitor liver & renal function, electrolytes, bleding time, CBC, serum drug levels if using long-term.…
I completely understand your preference to see physician that you have known for several years and I am with you. Until this week, I did not have a clear understanding between nurse and nurse practitioner. In addition to Nicole’s comment I would like to add that an NP spends almost 8 years of education while a doctor could go up to 18 years. An NPs are more than an RN nurse, beside education, they have to renew their license every few years, take continuing education, while an RN needs a minimum of two years and continuing education varies from state to state (Nurse Practitioner vs. Registered nurse. n.d.).…
The associate degree prepared nurse is more technical, and the baccalaureate degree prepared nurse is more professional (Giger & Davidhizar, 1990, p. 1013). The baccalaureate degree prepared nurse receives education in leadership skills, community health, and in depth critical thinking using nursing theories and conceptual framework. There are many studies indicating increase positive patient outcomes with the increase of baccalaureate nurses. Therefore, by increasing nursing education, the patients receive a higher standard of…
She was pleasantly surprised that the advance degree guided her to do a better job in teaching. Additionally, it helped her to better understand adult learning behavior that leads to development and implementation of effective program courses, tools, and other resources for the new residents. The advanced study taught her how to facilitate and train using principles of learning with effective methodologies that transform New Residents from just a task providers/caregivers to competent…
Encourage some light physical activity during the day. Make sure client stops activity several hours before bedtime, as individually appropriate (Kredlow, et al, 2015).…
I have been preparing for my future career all my life. Although my career choices have changed several times over the years, my desire to care for others has never changed. Children have always gravitated to me and me to them which led me to choose my career of becoming a Pediatric Nurse Practitioner. I have researched and mapped out my pathway to achieving such a goal and I am very excited at what lies ahead.…
spends most of her time in the hospital, but even while inpatient she is constantly surrounded by…
B.A later pursued a Licensed Vocational Nurse program and graduated in 1996. From 1996 to 2000, she worked as an LVN, where she refined her technical skills on intravenous therapy, medication pass, catheterizations and irrigations, and also patient’s safety and support implementations (Master of Science in Nursing, 2013). Later, she went back in school and was awarded an associate degree in nursing.…
Established in 1989, Agency for Health Care Policy and Research’s (AHCPR) primary goal is to help in the performance of outcomes research (Burns & Grove, 2011). These health care experts from different areas of nursing shared their research findings with other health care professionals and developed the first evidence researched-based clinical guidelines for nurses in 1989 that provided directives and standards for practice (Burns & Grove,…
There is this bright determined girl who is very motivated, ambitious and has the key to success. This girl is pure African, a true Muslim who was raised in a highly respectable way. She has bright eyes to determine who she truly wants to be. A vision without action is merely a dream. Action without vision just passes the time. Vision with action can change my life and my life changes others. I have a dream that truly discovers who I am but others cant determine who I want to be in the future. Who can this girl be ? Well her name is Hawa Kante, the one who could brighten your eyes and make her future a better dream.…
I will be comparing Virginia and Maine in the similarities and differences of the Nurse Practice Act. Virginia and Maine have policies regulating the education, application, and licensure for registered nurses, licensed practical nurses, and licensed vocational nurses. Virginia and Maine are compact license states allowing nursing to practice between thirty and ninety days while awaiting licensure from the new state board of nursing. Virginia requires continuing education for renewal of licensure while Maine does not require continuing education or professional development (Maine State Board of Nursing, 2017).…
The Advanced Practice Nurse (APN) is a leader and team member who is capable of diagnosing, treating, and providing follow-up care to a variety of patients. Depending on the state in which the APN is licensed will determine his or her scope of practice. The three different levels the APN can practice are full, reduced, or restricted (Expanded roles, 2015). In some states, the APN is completely autonomous while in other states the APN might need the supervision or collaboration of a physician. The state of New Jersey requires the APN to have a collaboration agreement with a physician. Research validates that APNs’ provide quality, safe, and evidence-based care (Torre & Drake, 2014). In order to increase public access to health care, all states…