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Adult-Gerontology Primary Care: Multi-Physician Practice

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Adult- Gerontology Primary Care Comprehensive Exam Sarah Miller The Ohio State University College of Nursing Question #1: You are interviewing for an advanced practice nursing position in a multi-physician practice. They have no prior experience with Advanced Practice Nurses or Nurse Practitioners. Please discuss how you might convince them to hire you. Please describe how you would benefit the practice by explaining the role, function, and limitations of a nurse practitioner. Incorporate research demonstrating the significance of the advanced practice nurse to support your position, including cost-related issues. The nurse practitioner role is one that has expanded significantly since its conception. As noted by the APRN Consensus Model, we …show more content…
My role includes a holistic approach to promoting beneficial health behaviors, preventing and managing acute and chronic diseases, and educating patients (APRN Consensus Model Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). Nurse practitioners work collaboratively with multidisciplinary teams to evaluate and manage patient care and outcomes. The limitations of advanced practice registered nurses are similar to those of any provider. We are limited by our scope of practice, as well as the scope of practice of our collaborating physician. We are by law required to practice within the realms of our education and clinical experience as well as our national certification (Lawriter, 2015). To practice effectively, we require a standard care arrangement with a physician, this physician must be constantly available for communication (Lawriter, 2015). Like other providers, we have continuing education requirements which keep us up to date on current evidence based practices. Furthermore, the need for advanced practice providers has increased greatly since the introduction of the Affordable Care …show more content…
Since the priority in healthcare is our patients, it is paramount to look at the quality of care provided by advanced practice registered nurses, and to understand how this care affects patient outcomes. Research suggests that care provided by nurse practitioners, in comparison with care provided without them, is related to similar patient outcomes regarding blood pressure, blood glucose control, and hospital length of stay (Stanik-Hutt et al, 2013). Furthermore, patient outcomes are similar in regards to “patient satisfaction and symptom management, patient health status, functional status, use of the emergency department and hospitalizations” when care is provided by nurse practitioners versus other providers (Stanik- Hutt et al, 2013). It is also financially beneficial to utilize advanced practice nurse practitioners. One of the most obvious benefits arises from compensation. In 2010 the average compensation for family physicians ranged from $208,658 to $219,500 (American Medical Group Association, 2010), whereas the mean compensation for nurse practitioners was $97,345 (AANP,

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