...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...Identify and describe three reasons there may be a physician shortage rather than a surplus in the United States. The number of physicians in the United States has increased rapidly in the last four decades showing about a 218 percent increase between the years 1965 to 2005. The Graduate Medical Education National Advisory Committee (GMENAC) reported in 1980 that there would be a surplus of physicians of 70,000 in 1990, and roughly 140,000 in 2000. But, by the early 2000’s some observers were raising the spectre of a physician shortage, especially among some specialty groups. Part of the response as to why there is a shortage lies in the way that differing methodologies and assumptions yield varying physician requirement and supply projections. The three reasons are explained as follows: 1. First, although managed care remains a formidable force in the organization and delivery of health care, its more restrictive elements have been blunted due to widespread physician and patient dissatisfaction, particularly with limits on choice. Medicine’s distaste of tightly controlled reimbursement and of non-physicians’ attempts to control their work fueled much of this backlash. The outcome of this has been a movement away from captioned insurance arrangements back to coverage that more closely resembles fee-for-service plans, especially preferred provider organizations. Physicians and patients seem to prefer choice to efficiency, which will add pressure for more physicians and...
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...Taken together, these preferences have had and will probably continue to have the effect of reducing the amount of time available for patient care (Williams & Torrens, 2008 p.270). Secondly, within the general increase in the U.S. population, there exists the ever-increasing lifespan of Americans, with their attendant levels of chronic conditions. In 2000, 12.4 percent of the U.S. population was 65 years of age or older; in 2050, the figure is projected to be 20.6 percent. This change will produce a steadily increasing demand for physician services and a consequent increase in the need for physicians (Williams & Torrens, 2008 p.270). Thirdly there is also a factor of using physician substitutes or extenders in health care delivery. Such as nurse practitioners, and physician assistants, among others were increasingly used to provide primary care, in which there would be less pressure to increase physician supply. Another reason for shortage could be a relatively new movement by payers and insurers toward a pay for performance reimbursement approach, particularly for office-based practice. The essence of this payment schemes is to reduce unnecessary diagnostic and procedural work. The total amount of work necessary for a given population of...
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...Health Care Professionals 1 Health Care Professionals Leslie T. Moore Strayer University Professor Tataw August 9, 2011 Health Care Professionals 2 Abstract Health care professionals play a key role in the provision of health services to met the needs and demands of the population. This includes the health policy issues that greatly impact and affect our health care system in the United States currently and in the future. This paper will discuss and identify health care professionals and the role that they play in the United States health care system Health Care Professionals 3 1. Indentify and describe the three reasons there may be a physician shortage rather than a surplus in the United States. There are many dimensions to the future of physicians and other medical professions, but all fade away in the face of one major fact. In the year of 2010, the rate of medical staff departures from active practice may reach epic proportions, far outstripping the ability of hospitals or training programs to respond. It’s the baby boomers moving into retirement at age 65. The trend is also growing due to a number of reasons. Demographic ...
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...themselves with patients, their families, and with one another. In nursing the importance of confidentiality has always been the forefront of patient care. The current Code of Ethics for Nurses (ANA,2001) is clear in its intent and meaning as it relates to the nurses primary role in promoting and advocating patient’s rights relating to privacy and confidentiality. Every nurse has always understood the need for patient confidentiality even before (HIPPA) was law. Truth being with advanced technology, new demands in healthcare, and recent developments in the world at large has made it more difficult to keep this promise. But keep it they must. As healthcare workers on any given day we hear and see private and confidential information, it is our duty to protect it. On occasion we do become comfortable with patient’s medical information that it can be easy to forget that as healthcare workers how important it is to keep information secure and private. Thus, a recommended solution to this issue is to recap the -privacy section of the “Health Insurance Portability Act” and refer to it as a guide to fully be able to protect patient confidentiality. The article is written to provide healthcare professionals information about the importance of keeping patient’s medical information secure and private. Reminding nurses and healthcare workers the main purpose of HIPPA and reviewing the implications of this Act for...
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...Factors That Contribute to Nurse Manager Retention Mickey L. Parsons, Jana Stonestreet Disclosures Nurs Econ. 2003;21(3) * Print * Email Introduction The purpose of this study was to describe factors that contribute to a health system's successful retention of nurse managers. This study is the first of a series that will provide the foundation for developing the nursing organization as a "health-promoting organization." The background and significance, theoretical framework, study findings, and executive strategies are discussed. The results and implications are intended to guide executive strategies, including organizational interventions, to build the nursing organization for quality patient care and positive working environments. Background and Significance The glue that holds the hospital together are the first-line managers. However, these managers are caught in a crossfire. Torn between multiple needs — patient, the staff, and the administration — nurse managers have been downsized and stretched over multiple units (Curtin, 2001). Nurse managers responsible for multiple units are severely challenged to maintain the needed blend and balance of clinical and business management, which is essential to staff nurse retention. Report after report identifies the importance of the nurse manager in retaining nursing staff (Boyle, Bott, Hansen, Woods, & Taunton, 1999; Corser, 1998; Cullen, 1999; Flannery & Grace, 1999; Fletcher, 2001; Kerfoot, 2000; Leveck...
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...Health Care Professionals Shana N. Settle HSA-500 May 29, 2011 Dr. Kevin Williams Health Care Professionals 1. Identify and describe three reasons there may be a physician shortage rather than a surplus in the United States. There is no denying the fact that there has been a dramatic surplus of employment in a diversity of categories, in the health sector in the United States over the last 30 years, which is a astonishing reflection of the essential place health and health care possesses in the lives of Americans, yet traditional health care occupations- physicians, dentists, and pharmacists- have declined, some dramatically. In regards to physicians, the picture is not so evident. The number of physicians in the United States did increase rapidly over the last 40 years, but by the early 2000s there seemed to be a shortage (?) as some would argue. However, there have been many “cross-cutting forces that have affected the U.S. health care system in the last several decades” (Williams & Torrens, 2009, p. 269). One reason to assume this conclusion is the “more restrictive elements” of managed care. Patients and doctors, alike, have been dissatisfied with their limited choices, from tightly controlled reimbursement to ‘non-physicians’ control of their workloads, respectively. As a result, there has been a movement away from insurance arrangements back to coverage that more resembles fee-for-service plans, especially PPOs (Williams...
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...Health Care Professionals Identify and describe three reasons there may be a physician shortage rather than a surplus in the United States. Although previously America had a surplus in Physicians and medical professionals it is no longer the case now. The first reason for this shortage is that Congress, in its attempt to address the issue of surplus, commissioned the Council on Graduate Medical Education (CGME), which reported that by the year 2000 the expected staffing ratio of one physician for every 370 citizens was more than adequate and that the country would be well advised to scale back on residency funded programs. Also CGME believed that enrollment should be cut 15% in order to control physician supply, hence in retrospect why we have such a major shortage. The second reason is that America is an aging society and we do not have enough doctors to handle that demand. Patients over the age of 65 require significantly more direct physician care than younger patients hence the number of doctors in the field have not been able to handle the orders .Physicians themselves favor a more controllable lifestyle contend William Torrens(2010). In the academic year 2000-2001 nearly 46% of the incoming first year medical students were women (Tilden, 2001). Although the growing number of female physicians is a good sign for our society it also indicates that women do not work the same long hours as men due to family obligations. Identify and describe three factors that...
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...Agency Nurse Orientation: A Case for Change EBT1-Task 3 Western Governors University A1) Procedure Nationwide there are currently 16,000 certified nursing homes caring for 1.4 million residents (Zhao & Haley, 2011). Due to high nurse turnover rates and persistent staffing shortages, many nursing homes utilize nurse staffing agencies to meet staffing needs. Holliswood Care Center (HCC), a 300 bed nursing home, with five residential floors, located in Hollis, New York is not exempt from such staffing challenges. In fact, according to Yves Pascal, Director of Nursing (DNS) at HCC, “Usually, 2-3 LPN’s per shift are required daily” (Y. Pascal, personal communication, December 15, 2013). Agency nurses are approved to work at HCC once they submit a current physical and complete an in-house facility orientation. During this orientation, agency nurses receive New York State mandated in-services, such as patient abuse and HIPPA. The nurses also receive specific instruction regarding emergency procedures, medication policy, employee conduct and procedures. However, specific unit policies and procedures, location of specific supplies are not included in the general orientation. Upon completion of the orientation, the agency nurse receives no further orientation or precepting. Thus when an agency nurse enters HCC for their first shift they are functioning independently and with limited knowledge. This is clearly a problem, which varies in degree of potential...
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...Health Care Professionals Tyreka L Banks HSA 500 08-15-2001 Dr. Melody Princess-Kelley Health Care Professionals Identify and describe three reasons there may be a physician shortage rather than a surplus in the United States. One cause for shortage is extensive discontent, mainly in managed care. Both patients and medical doctors believe there is a boundary on choice. “Medicine’s dislike of firmly prohibited repayment and of non- medical doctor’s effort to manage their job fueled a large amount of this criticism” (Williams & Torrens, 2008, p.270). All this has origin a movement away from investment insurance planning and reverse to a more intimately look like fee-for-service plan, mainly favored provider organizations. With the shift away from prearranged forms of therapeutic practice typically means close by will be a larger need for more medical doctors to convey the identical kind of service. The following cause for a shortage is “The reasons for this are clear: Women still do a bulk of the duties surrounding the maintaining a home, upbringing of children and leaving lesser time accessible for practice. The main essential demographic changes within the labor force may cause anxiety for fewer medical doctors” (Williams & Torrens, 2008, pp 226-228). One reason for this may be due to the rising number of women in the labor force but it also affects men as well. All are seeking a way of life that permits them to have a limited number of hours worked during...
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...COMPETENCIES BETWEEN NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREES Kelly Matthews Grand Canyon University: RN to BSN NRS 430 V – PROFESSIOANL DYNAMICS 06/14/12 Abstract This is an attempt to analyze the differences in competencies between the nurses with Associate Degree (ADN) and Bachelor’s degree (BSN) in Nursing. The contemporary nursing career demands critical thinking, effective communication skills and comprehensive knowledge. To be equipped with these attributes, a Nurse must pursue at least the BSN degree program. The salient points considered for this analysis and finding are: • A comparison of curricula of both programs. • Increasing requirement of Educators, Researchers and Administrators in Nursing. • Patient safety, quality of care, sync with technological advancements. • A patient care situation. DIFFRENCES IN COMPETENCIES OF NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREE Education is an infinite process. Everyday, new developments emerge and new deceases and remedies discovered. The overall outlook of healthcare professions has dramatically changed in the past few decades. Nursing plays a very critical and important part in efficient care and patient safety. Nurses work shoulder to shoulder with physicians in treatment planning and management. Legal and ethical responsibility of the care provided is also increasingly shared by the Nurses. Nursing profession thus calls for better qualified and well groomed nurses. Even though...
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...sign this law to protect the right and privacy of the patients. Before 1996 there were many issues that has rise the concerning of patient privacy. The HIPPA Act includes “Health insurance portability, fraud and abuse control, tax related provision, group health plan requirements, revenue offset provision, and administrative simplification requirements (Physicians Billing Associates International, 2006). The article that I had read was about a woman who was a nurse and started to use the narcotic from the patient and it was also between an individual’s right to privacy. It shows the process of which the administrator determines a course of action is reviewed but his context of workplace realities through an ethical analysis. This article was about a woman named Jackie that was a nurse and she was overwhelmed with her job. She tried talking to her husband but was convinced to continue working because who pay check was making their saving grow extremely large. To make her husband happy she continues to work as a nurse. She was working in different units that she started to use the narcotic that were prescribing to the patient that she was caring for. She started to take the patient pain medications that weren’t asking for their medications. Then Jackie started to replace the medications with the saline. Jackie had an addiction to pain medication. The administrative Michelle found out because Jackie was working in the surgical unit and the pharmacist had notice there was errors...
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...plan requirements, revenue offset provision, and administrative simplification requirements (Physicians Billing Associates International, 2006). The article that I had read was about a woman who was a nurse and started to use the narcotic from the patient. It shows the process in which an administrator determines the course of action that will be taken. Also the context of workplace realities through an ethical analysis. This article was about a woman named Jackie that was a nurse and she was overwhelmed with her job. She tried talking to her husband but was convinced to continue working because who pay check was making their saving grow extremely large. To make her husband happy she continues to work as a nurse. She was working in different units that she started to use the narcotic that were prescribing to the patient that she was caring for. She started to take the patient pain medications that weren’t asking for their medications. Then Jackie started to replace the medications with the saline. Jackie had an addiction to pain medication. The administrative Michelle found out because Jackie was working in the surgical unit and the pharmacist had notice there was errors on the medication log sheet. Michelle had requested for the entire narcotic log sheet and the names of the nurses that were working on those days. Michelle had to inform Karen who was another administrative and explain to her...
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...physical therapy, Mrs. Bee felt she could not breathe. Mrs. Bee had experienced terrible spasms in her left calf the previous evening and notified Nurse Karing. Nurse Karing proceeded to order a STAT venous Doppler X-ray to rule out thrombosis. She paged Dr. Cural to notify him that Mrs. Bee was having symptoms of thrombosis. Dr. Cural was upset that he was being bothered after a long day of work and shouted at the nurse, telling her he had evaluated Mrs. Bee that morning and to cancel the test. When Nurse Karing returned to the hospital the next day, Mrs. Bee’s symptoms were worse. She ordered the test. After complications, Dr. Krisis from the ER, came immediately to help stabilize Mrs. Bee. Unaware of Nurse Karing’s call to Dr. Cural, Dr. Krisis assumed the nursing staff was at fault for neglecting to notify Dr. Cural of Mrs. Bee’s status change the previous evening. Denying responsibility, Dr. Cural also blames the nursing staff for not contacting him. Not being informed of Mrs. Bee’s status change, her social worker, Mr. Friendly, arrives with the news that her insurance will cover physical therapy for one week at a rehabilitation facility and they will be there in one hour to pick her up. An angry Nurse Karing decides administration should be notified. 2. Identify your role For my role, I am going to be a Chief Administrator in the case. This case clearly presents an internal lack of respect and breakdown in communication between the health care team members, which should...
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...Occupational stress is a recognized problem in health care workers.1 Nursing has been identified as an occupation that has high levels of stress. In an investigation conducted by the National Institute for Occupational Safety and Health in the USA, nurses were found to be one of the occupations that had a higher than expected incidence of stress related health disorders.3 It was found that job stress brought about hazardous impacts not only on nurses’ health but also their abilities to cope with job demands. This will seriously impair the provision of quality care and the efficacy of health services delivery. In a study of job stress among hospital nurses, it was found that 27% of the subjects experienced psycho physiological symptoms of stress, and 38% reported consulting a doctor in the past 6 months. It has also been found that different nurses experience job stress different (Josef, 2003). In recent years there has been broad discussion on the nature of stressors experienced by members of “high risk” occupations and professions, for instance nursing and emergency workers, whose role is to support others through traumatic scenarios. Most people can cope with stress for short periods but Chronic stress produces prolonged changes in the physiological state.8 Effectiveness of coping behaviors depends on the situation in which they are used. Some coping behaviors may work well for some situations but not for others.9 In general terms, coping are a strategy that helps people reduce...
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