After reading The Future of Nursing (PDF) report (Links to an external site.)Links to an external site. The Future of Nursing (PDF) report, describe one way you believe the report can directly
impact the APRN role.
Post your original response by the end of Day 3. Then, by the end of Day 6, comment on at least
two of your classmates' posts.
Search entries or author Filter replies by unread
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Collapse Subdiscussion Taylor Young Taylor Young
Nov 20, 2017 Nov 20 at 12:39am
The future of nursing will have a positive impact to the APRN. With the IOM report it can be hard to pick just one benefit that will impact the APRN. One of the biggest impacts with the IOM
report on the future of nursing would be to allow all APRN’s in the U.S. to practice to the fullest extent of their training (Robert Wood Johnson Foundation, 2010). If the APRN is trained and educated properly, he/she should be able to practice to their fullest ability regardless of their geographic location. By allowing all nurse practitioners a full scope of practice, access to healthcare in the U.S. would improve immensely. Currently, there is a significant need in primary care providers, which nurse practitioners could provide for the patients, especially the
management of patients who have chronic illnesses.
As of 2017 there are 23 states that allow nurse practitioners full practice authority which significantly helps improve access to healthcare in those states. (AANP, 2017). Medicare and Medicaid are restrictive in the services that they allow for APRN’s. If Medicaid and Medicare would cover services that nurse practitioners are capable of, it could open up an entire window of
patient’s that NP’s could care for vs. only physicians currently (Robert Wood Johnson Foundation, 2010). Medicaid also need to improve their reimbursements that are currently given to physicians and extend them to nurse practitioners as well (Robert Wood Johnson Foundation, 2010). APRN’s are not appreciated as they should be in most states and by the federal government. Programs like Medicaid and Medicare could save large amounts of money by utilizing APRN’s when able in every state, and it could also nearly completely fix the gap in healthcare by improving access to people in urban and rural areas.
References
AANP. (2017). State practice environment. Retrieved from https://www.aanp.org/legislation- regulation/state-legislation/state-practice-environment.
Robert Wood Johnson Foundation. (2010). The future of nursing: Leading change, advancing health. Institute of Medicine. Retrieved from https://lmscontent.embanet.com/MVU/NURS603/readings/Week5_TheFutureofNursingReportS ummary.pdf.
Reply Reply to Comment •
Collapse Subdiscussion Theresa Stenmark Theresa Stenmark
Nov 21, 2017 Nov 21 at 1:49pm
Taylor, your post states that the IOM will have a positive impact on the APRN and I certainly agree with your statement. The APRN is highly educated, skilled and patient-oriented. When the practitioner-physician partners up in the acute and community care settings, the APRN may be invaluable to the communities in which they serve. They can improve access of care, improve communication with education and provide the nation with quality, efficient health care. The autonomous APRN may independently practice (in many states -23 thus far), with this
independent practice provides freedom to practice and to seek a specialty care, allow for flexibility in workload and structure (allow time to spend quality time with patients), be responsible for your own practice, new opportunities such as expanding services and promoting the growth of the practice, being responsible for the needs of the clinic, and a an APRN learning
to deal with change, resolve conflicts, and successfully improve self-esteem and self-
confidence. So, I believe that with the IOM, this independent practice can only improve and enhance the APRNs ability to improve clinical practice, thus giving the patient a more thorough,
evidenced based safe practice that focuses on improving care, improving communication, improvement on clinical competence, and improved lives for the patient. Currently patients already report a higher level of satisfaction with the Nurse Practitioner and there was no overall significant difference in prescribing practices or patient costs between the two providers (Joel, 2013). The IOM developed eight clinical standards that will help improve upon the APRNs ability in building rigorous, trustworthy and optimized care for the diverse population in which they already serve. These clinical guidelines will improve upon the APRNs ability in making complex decisions while using their knowledge, experiences, patient preferences while making informed decisions. The APRN may improve upon health care quality and health outcomes. I only see the APRN improving health care in our communities in which we live, play and work, thus improving upon each patient’s life and well-being ("Home | The National Academies of
Sciences, Engineering, and Medicine | National-Academies.org | Where the Nation Turns for Independent, Expert Advice", 2017).
References
Home | The National Academies of Sciences, Engineering, and Medicine | National-
Academies.org | Where the Nation Turns for Independent, Expert Advice. (2017).
Nationalacademies.org . Retrieved 21 November 2017, from http://nationalacademies.org
Joel, L. (2013). Advanced practice nursing: Essentials for role development (3rd ed.). Philadelphia: F.A. Davis Company.
Reply Reply to Comment
Collapse Subdiscussion Katy Valazak Katy Valazak
Nov 22, 2017 Nov 22 at 1:44pm
Taylor,
Currently, there are greater than 830,000 physicians who are over age 50, which means they are nearing retirement and also seeing fewer patients (Marbury, 2013). Since the Affordable
Care Act (ACA) passed in 2010, it is estimated there will be more than 15 million people eligible
for Medicare by 2025 and more than 30 million Americans in the healthcare system (Marbury, 2013). In order to keep up with the influx of patients, the U.S. would need an additional 51,880 PCPs by 2025 (Marbury, 2013). One proposed solution to this predicament, is to broaden the responsibilities of nurse practitioners (NPs) and physician assistants (PAs). More states are working to remove restrictions, allowing NPs to practice without a physician’s supervision. According to an article I read, removing restrictions from practicing NPs receives mixed reviews from physicians. Some physicians have virtually no experience working with NPs.
Some have wonderful experiences, while others have not had great experiences working with NPs. Regarding physicians who are not advocates for removing restrictions for practicing NPs, I
am curious to know what their proposed solutions to the primary care shortage might be. Many medical students are choosing to specialize, rather than elect careers in primary care.
Personally, I believe NPs should be able to practice to their full extent. That being said, as a new nurse practitioner graduate, I am not sure I would feel comfortable “flying solo.” I may
feel differently after a few years of practice under my belt. I believe good communication with physicians is very important. The bottom line is that NPs can always refer a patient to a physician if they feel that is in the best interest of the patient. I hope to develop a good rapport and a good working relationship with physicians so I am able to feel comfortable asking questions, feedback, advice, etc. I believe each healthcare discipline has things to bring to the table. Team center approaches and collaboration are usually in the best interest of serving patients. Great post!
Reference:
Marbury, D. Scope of practice debate: Many organizations are seeking solutions to the impending primary care physician shortage, but should nurse practitioners fill the void (2013)?
Medical Economics, 90(17), 26-30.
Reply Reply to Comment
Collapse Subdiscussion Keisha Yarborough Keisha Yarborough
Nov 24, 2017 Nov 24 at 2:54pm
Hi Taylor,
This writer also believes that the future nursing will have a positive impact on nurse practitioners by allowing the nurse practitioner to practice at the extent in which they have been trained (Robert Wood Johnson Foundation, 2010). There is currently a shortage with health care providers and puts the community in jeopardy with not having immediate access to health care when needed. Especially within the rural population of where a hospital is almost forty-five miles away. Currently the town in which I grew up in are facing a closure of the hospital due to inadequate funding available to keep the facility open. This rural town has a high population of individuals with diabetes, high blood pressure and cancer. At this rate of chronic health illnesses,
the need for a hospital and health care provider becomes even more of a need for the community. As previously mentioned, the shortage of health care providers puts the population at risk for being treated promptly. There is already a shortage of physicians in the United States and the nurse practitioners are helping to fill in the gap of physician shortage.
impact the APRN role.
Post your original response by the end of Day 3. Then, by the end of Day 6, comment on at least
two of your classmates' posts.
Search entries or author Filter replies by unread
Reply Reply to Main Discussion •
Collapse Subdiscussion Taylor Young Taylor Young
Nov 20, 2017 Nov 20 at 12:39am
The future of nursing will have a positive impact to the APRN. With the IOM report it can be hard to pick just one benefit that will impact the APRN. One of the biggest impacts with the IOM
report on the future of nursing would be to allow all APRN’s in the U.S. to practice to the fullest extent of their training (Robert Wood Johnson Foundation, 2010). If the APRN is trained and educated properly, he/she should be able to practice to their fullest ability regardless of their geographic location. By allowing all nurse practitioners a full scope of practice, access to healthcare in the U.S. would improve immensely. Currently, there is a significant need in primary care providers, which nurse practitioners could provide for the patients, especially the
management of patients who have chronic illnesses.
As of 2017 there are 23 states that allow nurse practitioners full practice authority which significantly helps improve access to healthcare in those states. (AANP, 2017). Medicare and Medicaid are restrictive in the services that they allow for APRN’s. If Medicaid and Medicare would cover services that nurse practitioners are capable of, it could open up an entire window of
patient’s that NP’s could care for vs. only physicians currently (Robert Wood Johnson Foundation, 2010). Medicaid also need to improve their reimbursements that are currently given to physicians and extend them to nurse practitioners as well (Robert Wood Johnson Foundation, 2010). APRN’s are not appreciated as they should be in most states and by the federal government. Programs like Medicaid and Medicare could save large amounts of money by utilizing APRN’s when able in every state, and it could also nearly completely fix the gap in healthcare by improving access to people in urban and rural areas.
References
AANP. (2017). State practice environment. Retrieved from https://www.aanp.org/legislation- regulation/state-legislation/state-practice-environment.
Robert Wood Johnson Foundation. (2010). The future of nursing: Leading change, advancing health. Institute of Medicine. Retrieved from https://lmscontent.embanet.com/MVU/NURS603/readings/Week5_TheFutureofNursingReportS ummary.pdf.
Reply Reply to Comment •
Collapse Subdiscussion Theresa Stenmark Theresa Stenmark
Nov 21, 2017 Nov 21 at 1:49pm
Taylor, your post states that the IOM will have a positive impact on the APRN and I certainly agree with your statement. The APRN is highly educated, skilled and patient-oriented. When the practitioner-physician partners up in the acute and community care settings, the APRN may be invaluable to the communities in which they serve. They can improve access of care, improve communication with education and provide the nation with quality, efficient health care. The autonomous APRN may independently practice (in many states -23 thus far), with this
independent practice provides freedom to practice and to seek a specialty care, allow for flexibility in workload and structure (allow time to spend quality time with patients), be responsible for your own practice, new opportunities such as expanding services and promoting the growth of the practice, being responsible for the needs of the clinic, and a an APRN learning
to deal with change, resolve conflicts, and successfully improve self-esteem and self-
confidence. So, I believe that with the IOM, this independent practice can only improve and enhance the APRNs ability to improve clinical practice, thus giving the patient a more thorough,
evidenced based safe practice that focuses on improving care, improving communication, improvement on clinical competence, and improved lives for the patient. Currently patients already report a higher level of satisfaction with the Nurse Practitioner and there was no overall significant difference in prescribing practices or patient costs between the two providers (Joel, 2013). The IOM developed eight clinical standards that will help improve upon the APRNs ability in building rigorous, trustworthy and optimized care for the diverse population in which they already serve. These clinical guidelines will improve upon the APRNs ability in making complex decisions while using their knowledge, experiences, patient preferences while making informed decisions. The APRN may improve upon health care quality and health outcomes. I only see the APRN improving health care in our communities in which we live, play and work, thus improving upon each patient’s life and well-being ("Home | The National Academies of
Sciences, Engineering, and Medicine | National-Academies.org | Where the Nation Turns for Independent, Expert Advice", 2017).
References
Home | The National Academies of Sciences, Engineering, and Medicine | National-
Academies.org | Where the Nation Turns for Independent, Expert Advice. (2017).
Nationalacademies.org . Retrieved 21 November 2017, from http://nationalacademies.org
Joel, L. (2013). Advanced practice nursing: Essentials for role development (3rd ed.). Philadelphia: F.A. Davis Company.
Reply Reply to Comment
Collapse Subdiscussion Katy Valazak Katy Valazak
Nov 22, 2017 Nov 22 at 1:44pm
Taylor,
Currently, there are greater than 830,000 physicians who are over age 50, which means they are nearing retirement and also seeing fewer patients (Marbury, 2013). Since the Affordable
Care Act (ACA) passed in 2010, it is estimated there will be more than 15 million people eligible
for Medicare by 2025 and more than 30 million Americans in the healthcare system (Marbury, 2013). In order to keep up with the influx of patients, the U.S. would need an additional 51,880 PCPs by 2025 (Marbury, 2013). One proposed solution to this predicament, is to broaden the responsibilities of nurse practitioners (NPs) and physician assistants (PAs). More states are working to remove restrictions, allowing NPs to practice without a physician’s supervision. According to an article I read, removing restrictions from practicing NPs receives mixed reviews from physicians. Some physicians have virtually no experience working with NPs.
Some have wonderful experiences, while others have not had great experiences working with NPs. Regarding physicians who are not advocates for removing restrictions for practicing NPs, I
am curious to know what their proposed solutions to the primary care shortage might be. Many medical students are choosing to specialize, rather than elect careers in primary care.
Personally, I believe NPs should be able to practice to their full extent. That being said, as a new nurse practitioner graduate, I am not sure I would feel comfortable “flying solo.” I may
feel differently after a few years of practice under my belt. I believe good communication with physicians is very important. The bottom line is that NPs can always refer a patient to a physician if they feel that is in the best interest of the patient. I hope to develop a good rapport and a good working relationship with physicians so I am able to feel comfortable asking questions, feedback, advice, etc. I believe each healthcare discipline has things to bring to the table. Team center approaches and collaboration are usually in the best interest of serving patients. Great post!
Reference:
Marbury, D. Scope of practice debate: Many organizations are seeking solutions to the impending primary care physician shortage, but should nurse practitioners fill the void (2013)?
Medical Economics, 90(17), 26-30.
Reply Reply to Comment
Collapse Subdiscussion Keisha Yarborough Keisha Yarborough
Nov 24, 2017 Nov 24 at 2:54pm
Hi Taylor,
This writer also believes that the future nursing will have a positive impact on nurse practitioners by allowing the nurse practitioner to practice at the extent in which they have been trained (Robert Wood Johnson Foundation, 2010). There is currently a shortage with health care providers and puts the community in jeopardy with not having immediate access to health care when needed. Especially within the rural population of where a hospital is almost forty-five miles away. Currently the town in which I grew up in are facing a closure of the hospital due to inadequate funding available to keep the facility open. This rural town has a high population of individuals with diabetes, high blood pressure and cancer. At this rate of chronic health illnesses,
the need for a hospital and health care provider becomes even more of a need for the community. As previously mentioned, the shortage of health care providers puts the population at risk for being treated promptly. There is already a shortage of physicians in the United States and the nurse practitioners are helping to fill in the gap of physician shortage.
