Nurse Practitioner Core Competencies and Professional Roles

Nurse Practitioner Core Competencies And Professional...
In 1990, the National Organization of Nurse Practitioner Faculties (NONPF), a United States–based organization
which represented over 90% of academic institutions with nurse practitioner (NP) education programs, released
the first set of entry into practice core competencies (Duller, 2013, p .71). Nurse practitioner core competencies
integrate and build upon existing Masters and DNP core competencies and are guidelines for educational programs
preparing NPs to implement the full scope of practice as a licensed independent practitioner ( NONPF, 2011). By
interviewing an advanced nurse practitioner, I will be able to discuss the nine nurse practitioner core competencies
and how they relate to APN practice.
NONPF Core Competencies
The first competency area is scientific foundation competency. This competency critically analyzes data and
evidence for improving advanced nursing practice. Nurse practitioners rely on scientific competency to integrate
research, theory and knowledge into practice. Research of their practice will allow NPs to influence public policy
through participation in professional organizations and in health policy activities at the local, state, national and
international levels (Sherwood, Brown, Fay, & Wardell, 2012, para. 6).
The leadership competency assumes complex and advanced roles to initiate and guide change. Leadership fosters
collaboration of healthcare members to work together to provide quality, safe and effective patient care. An
effective
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Nurses Practitioners And Physician Assistants
With advances in medicine, Americans are living longer and with chronic illnesses that require long term medical
maintenance. As the population has grown with patients that are aging and becoming sicker in the process, there
has presented a shortage of physicians to manage this rise in demand. Now, with the passage of new legislation
such as the Affordable Care Act, more patients have access to health care than ever before. Many experts have
suggested increasing the utilization of Nurse Practitioners and Physicians assistants as a cost effective resource to
tackle to rising cost of healthcare amid a physician shortage in America. Several studies have been performed to
assess the viability of these options, to address the advantages and ... Show more content on Helpwriting.net ...
NPs are not only moving into increased roles within the acute care hospital setting, but also into roles in the
community as Primary Care Providers (PCPs). The anticipated shortage of physicians to handle an increased
number of aging patients already affects my position as a staff nurse at a hospital. A career in nursing offers
countless paths to further your education, whether it is to become a specialist in a field of practice, foray into
research or to pursue a position as a nurse practitioner. I was interested to learn more information about how
expanding the role of Advanced Care Nurse Practitioners (ACNP) may relieve shortages of physicians and lessen
the burden on our current healthcare system. Increasing the roles of ACNP would only be feasible if patients are
still receiving quality care while decreasing the cost of healthcare. As a nurse returning to school to further my
education, I would like to know if pursuing a career as an ACNP would be a viable option for me to continue to
interact with patients in an acute care setting in a more specialized role.
Nurse Practitioners as an untapped resource
Nurse Practitioners have been providing primary care since the 1970S, but with recent changes in legislation, they
are able to practice with a greater level of autonomy. This leads many to question whether ACNPs are able to meet
the increasing

Professional Interview : Nurse Practitioner Core Competencies
Professional Interview
There is no better way of learning about a future role or positions, then getting opinions and viewpoints from
someone who has experience your field of study. Having other's viewpoints and critiques can be important to your
decision making process related to pros and cons of that particular field of choice. This enables you to gain
perspective and insight of job duties, and a viewpoint of the real environment.
Nurse Practitioner Core Competencies
Nurse Practitioner Core Competencies are a set of competencies that guides and regulates the scope of practice for
Certified Nurse Practitioners (CNP). Patients and organizations benefit highly from nurses working at the top of
the education in their profession. As a license Advance Professional, education will help innovate and govern our
needs related to patient care, safety, evidence–base practice, and improvement of positive patient outcomes. Nurse
Practitioner Core Competencies consist of Leadership, Quality, Practice Inquiry, Technology/Information Literacy,
Policy, Health Delivery System, Ethics, and Independent Practice Competencies.
Leadership
CNP's role requires leadership qualifications. Therefore, advance practice nurses should be knowledgeable and
demonstrate critical thinking skills. Leadership skills should help foster collaboration, while providing
improvements for cost effective health care. It's important for leaders to be able to initiate change and have
communication skills. Collaboration

Roles of Nurse Practitioners in Healthcare Organizations
The role of a nurse practitioner has changed and progressed over the time since their inception. Nurse practitioners
in today's environments of hospitals and clinics in treating primary care has expanded. Their roles has expanded
that in some states a nurse practitioner can work in a clinic stand–alone without an overseeing physician. Do all
states offer these privileges to nurse practitioners some ask and the answer is no. Some states still have the
requirement that nurse practitioners must be overseen by a physician. In today's environment of physician
shortages this leads to nurse practitioners being limited in the field of scope of primary care. Not a lot of
physicians are going into primary care because of the lack of money that they may earn as a general physician
over as a specialist. This problem has led to the shortage of physicians in the field of general medicine and what
hospitals and clinics are trying to do to remedy the situation by using nurse practitioners and physician assistants.
These organizations see nurse practitioners as a means of filling this void in primary care. Studies have shown that
nurse practitioners deliver a higher quality of care or equal to that of a physician. Clinics in states that allow a
nurse practitioner to practice freely from a physician are able to create openings in areas that physicians typically
would not apply for. These states are seeing more nurse practitioners and physician assistants in rural areas by
allowing

Nurse Practitioner Essay
A Nurse Practitioner is a licensed clinical health care provider that possesses comprehensive clinical expertise in
diagnosing and treating health conditions with additional education and skills needed to educate about disease
prevention and health management across the life span. (AANP, 2017). Nurse Practitioners usually work under the
direction of physicians. Millions of Americans are choosing Nurse Practitioners more for their healthcare needs
today. Nurse Practitioners serve to evaluate and diagnose patients, prescribe medications, and bring
comprehensive treatments to the healthcare needs of individuals. (AANP, 2017). This paper will discuss the
pioneers of the Nurse Practitioner profession, a few of the important leaders that had an impact on this ... Show
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In 1965, a pioneer named Loretta Ford and her colleague Dr. Henry Silver developed the first Nurse Practitioner
program at The University of Colorado. (Judd & Sitzman, 2014). Loretta Ford believed that Nurse Practitioners
were a significant way to resolve social and health problems for specific populations across the United States.
(Judd & Sitzman, 2014). Ford promoted Nurse Practitioners to work side–by–side with physicians as an effective
team, to manage patients and utilize health care resources like never before. (Judd & Sitzman, 2014). In 1967, one
of the first masters' degree Nurse Practitioner programs was developed at Boston College. (AANP, 2017). In 1971,
The University of Washington developed the first family Nurse Practitioner programs, and it was called PRIMEX.
(AANP, 2017). In 1973, The National Association of Pediatric Nurse Practitioners was developed. (AANP, 2017).
In 1974, The American Nurses Association established the Council of Primary Care Nurse Practitioners, and this
helped to promote the actual role of Nurse Practitioners, making it a legitimate profession. (AANP,

The American Association Of Nurse Practitioners
The largest independent membership organization available exclusively to NPs is the American Association of
Nurse Practitioners (AANP). Besides being a full–service national organization, it also certifies NPs nationally.
The AANP represents all NP specialties and advocates for high–quality healthcare services for patients and their
right to obtain such services from their provider of choice. One of the most significant functions of the AANP is its
involvement in advocacy and government affairs. Over thirty laws benefiting NPs and their patients were passed
with the support of the AANP over the last two years. The AANP has a dedicated federal staff that works with
national policy stakeholders, regulators, members of Congress, and federal agencies to enact laws ranging from
admitting privileges and appropriations to prescriptive authority. (AANP, 2015a). At the local level, there are
organizations acting on a smaller but more personalized scale by providing opportunities for relationship–building
among colleagues. For instance, the South Florida Council of Advanced Practice Nurses (SFCAPN) is a local
assembly of NPs that through collegial relationships provide mutual support, share updates on clinical knowledge,
and provide networking opportunities for its members. (SFCAPN, 2015). Core Competencies and Certification
Requirements The curriculum for nurses in advance practice requires that every APRN is academically prepared
by adhering to the seven core competencies

An Analysis on the Ability of Nurse Practitioners to...
According to the Pearson Report, there is a total of 147,295 Nurse Practitioners throughout the United States
(Pearson, 2009). However, for NPs in some states the battle continues over some forms of prescriptive authority or
physician involvement in NP prescribing, such as the state of Pennsylvania. State regulatory approaches to NP
prescribing range from no authorization for prescribing (in Georgia, 2006 legislation passed which recognized NPs
as prescribers, but the rules have not been approved at the time of this writing) to unencumbered prescriptive
authority (Arizona, DC, Montana, Oregon, Washington, and Wyoming) (Lugo, O'Grady, Hodnicki & Hanson,
2007).
Lugo et al. (2007) writes that NPs in 47 states can prescribe controlled ... Show more content on Helpwriting.net
...
As a certified registered nurse practitioner (CRNP) practicing in the state of Pennsylvania, the current prescriptive
authority limits prescribing narcotics to a 72–hour supply. This includes any Schedule II medication regardless of
the patient and their pain regimen. Working under a collaborative practice agreement, the nurse practitioner (NP)
can prescribe chemotherapy, treat and prescribe for most symptoms and side effects the oncology patient may
encounter, but not treat pain with Schedule II narcotics (Leahy, 2007).
Through reviewing the literature, prescriptive authority of controlled substances by NP in Pennsylvania has been
challenging. Many societal issues have influenced the growth of nurse prescriptive practices. The shortage of
providers, particularly for underserved, uninsured populations, has been thoroughly documented (Pearson, 2009).
In the 2007 Pearson Report, there are 39 states that still require the oversight of a physician in writing
prescriptions, and 11 other states including the District of Columbia, which allows independent authority. APNs
lose a feeling of independence when they feel a physician has to oversee what they are prescribing to their
patients. In states in which physician oversight is not required, APN practice can be very independent.
For this paper, an examination on

A Career as a Pediatric Nurse Practitioner
Pediatric Nurse Practitioner I would like to go into the Pediatric Nurse Practitioner career field. Pediatric Nurse
Practitioners help Pediatricians and other Physicians diagnose and take care of children from infancy to young
adults. I have grown up with ten siblings and many more cousins, so I have learned how to deal with children of
all ages. Also, I have been interested in the medical field since I was a little girl and I have always loved to help
people. I would have liked to be a Pediatrician but I would prefere not be in school for another thirteen years, so I
found that the Pediatric Nurse Practitioner was the perfect career for me. In the mid–twentieth century, doctors
started working with nurses who had "clinical experience" because they needed more people in specialized and
primary care. Health coverage like Medicaid and Medicare were offered to low income women, children, elderly
and disabled people in the mid–1960's. Because of the affordable coverage, more people then requested the need
to have primary care, and because there were not enough doctors to go around to everyone that could afford the
care, the nurses felt that they could take on the important responsibility. The training program for the nurse
practitioners, developed by Nurse Loretta Ford and Doctor Henry Silver, was based on the well being of children
and their families. The growing interest for primary care, according to Ford, was one of the reasons for the
creation of Nurse

Nursing Nurse Practitioner : An Integrative Approach
The specialty for which I was admitted to South University is the Nursing with a specialization in Family Nurse
Practitioner Master of Science in Nursing. The need and demand for specialty nurses have evolved over the years.
There are several APRN roles as delineated by the APRN Consensus Model (2008), an advanced practice nurse
can work as a clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse
anesthetist (CRNA), and certified nurse midwife (CNM). With the changing health care system and the
diminishing availability of primary care doctors, many patients are seeing Nurses Practitioners and other APRNs
for their primary care needs. According to the textbook, Advanced Nursing Practice: An ... Show more content on
Helpwriting.net ...
Therefore, their role is considered to be clinical. Patient safety is an essential and vital component of quality
nursing care. It is also a collaborative effort of all health care workers involved with the patient. The Joint
Commission ensures health care organizations and health care providers follow, maintain and provide safe and
effective care of the highest quality and value. Some of the NPSGs (2016) outlined include: Proper identification
of patients, two patient identifiers are required for example patient's name and date of birth, to ensure that the right
patient is getting the right care. Improving staff communication by getting test results to the right staff on time.
NPs promote patient safety in a lot of ways. It is a nurse's professional responsibility to maintain safety and
competency by being a life–long learner, keeping abreast of the changes in health care system through self–
education; reading evidenced based articles that provides up–to–date regarding nursing care, keeping up with
certifications, ensuring licenses are renewed before they expire, wash hands between patient contact, provide
patient education by promptly addressing and detailing concerns that were addressed, coordinating care in a timely
manner, providing holistic and comprehensive approaches to evaluation and management of patient problems.
Focusing on not only the patient but the families too with the emphasis on the meaning of

Limits Of Nurse Practitioners
Because of the current measures, nurse practitioners are not allowed to practice without supervision in some states.
These limits are in place because physicians are concerned that nurse practitioners don't have enough experience
to care for patient without direction. These actions prevent free market competitions which the nurse practitioners
are upset about. However, "The Federal Trade Commission vigorously promotes competition in the health care
industry through enforcement, study and advocacy. Competition in health care markets benefits consumers by
helping to control cost and prices, improve quality of care, promote innovative products, services, service delivery
models, and expand access to health care services and goods" (Ramirez et

Research Question What type of authority should Nurse Practitioners have compared to primary health care
providers?
Starting point
At the beginning of the research process, it was clear that Nurse Practitioners could only prescribe a limited
number of medications. Originally, the plan was to discuss how nurse practitioners can possibly save patient lives
with more prescriptive authority. Prescribing medication is an important part of health care, but it does not
encompass all the duties of a nurse practitioner.
Background Issues and Context
The problem is what type of authority should Nurse Practitioners have? The health of millions of people is at stake
due to the shortage of doctors in our country. The shortage of doctors leads to decreased length of appointment
times and health ... Show more content on Helpwriting.net ...
L. (2013). Minimizing legal risks when prescribing. The Nurse Practitioner, 38(8), 18–20. Doi: 10.
1097/01.NPR.0000431184.17924.52
Cipher, D., Hooker, R. S., & Guerra, P. (2006). Prescribing trends by nurse practitioners and physician assistants in
the United States. American Academy of Nurse Practitioners. Doi: 10.1111/j.1745–7599.2006. 00133.x
Dillion D., & Faye, G. (2017, January/March). Full Practice Authority for Nurse Practitioners. Nursing
Administration Quarterly. Doi: 10.1097/NAQ.0000000000000210
Muchmore, S. (2012, February 25). Nurse practitioners worry new rule would only have negative effects.
Newspaper Source Plus. Retrieved November 1, 2017, from www.tulsaworld.com
Muench, U. (2017, April 1). Prescribing Practices by Nurse Practitioners and Primary Care Physicians: A
Descriptive Analysis of Medicare Beneficiaries. Journal of Nursing Regulation, 8(1):21. ISSN: 21558256
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving
prescribing practices: A pharmacist–led educational intervention for nurse practitioner students. Journal of the
American Association of Nurse Practitioners. Doi:

Nurse Practitioners : Nursing Practitioners
Nurse practitioners (NPs), or Advanced Practice Registered Nurses (APRNs), play an essential role in the growing
complexity of the healthcare system. Established in the early 1960s, nurse practitioners have served as skilled
clinicians, meeting the healthcare needs of patients as the availability of primary care physicians continued to
decrease. Much like a Primary Care Physician, Nurse Practitioners can serve as a primary health care providers or
specialize in particular areas of health care like family medicine. Many Nurse Practitioners, for instance Family
Nurse Practitioners (FNP), work in collaboration with physicians in hospitals or outpatient facilities, while others
work autonomously in private practices. With their graduate–level education and clinical training, family nurse
practitioners can diagnose illnesses, conduct exams, treat complex health conditions, and prescribe medications.
Family nurse practitioners place a strong emphasis on wellness and prevention, but also provide treatment for
everything from mild ailments to serious conditions affecting any member across the age span. One FNP, in which
the author has had the pleasure to work beside with, is an exceptional staff nurse, clinical instructor, and mentor.
As a FNP in Emergency Department Observation Unit (EDOU) and Short Stay Unit (SSU) of MGH, Sheila Young
is responsible for the treating emergency department patients with a variety of health issues. This paper will
examine Shelia's role and practice

As An Advanced Nurse Practitioner ( N-5
Discussion Post
Week Three
NURS6565, N–5 As an advanced nurse practitioner (APN), one must understand that he or she is under constant
scrutiny. The performance measurements of primary care providers include several aspects that affect their
practice and treatment outcomes. The purpose of this discussion post is to identify and evaluate an aspect of
clinical performance measurement. Then, determine the utilization of these measurements for nurse practitioner
(NP) productivity. Lastly, I will share my opinion about incentive payment for care, which includes external
motivators and a business model.
Quality Measures The clinical performance measure I chose is breast cancer screening or mammography.
According to Buppert (2015), the ... Show more content on Helpwriting.net ...
Three different RVUs that are necessary to dictate physician reimbursement they are; work RVUs, which include
the amount of time and intensity to provide a service and accounts for as much as 50% of the compensation,
expense RVUs include practice expenses, and malpractice RVUs is the cost to cover the physician's malpractice
insurance. Doctors receive a base salary equal to 90% of the benchmark. However, the RVUs used to provide the
physician's with incentive pay is unable to be the median benchmark for most APRNs, as they are not always
billing providers. The Incentive pay for advanced practice registered nurses (APRN) usually involves a percentage
of profits after the payment of benefits from the revenues. Unfortunately, if an NP works at a hospital that has a
mission to care for everyone regardless of their ability to pay, the rate of collections is decreased significantly
(Rhodes, Bechtle, & McNett, 2015).
Incentive Payment
However, Carolyn Buppert suggests that a practice includes quality measures and productivity as well as incentive
plans to increase provider and patient satisfaction. This policy states that the NP will receive excess payment of
the work RVU as per the appropriate outcome metrics in the APRN's role, professional organization participation,
publications, and student education. Also, a three–year rolling average as indicated to reduce extreme yearly
fluctuations.

The Career Of A Pediatric Nurse Practitioner
Pediatric Nurse Practitioner According to Orison Swett Morden "There is no medicine like hope, no incentive so
great, and no tonic so powerful as expectation of something better tomorrow". The career of a pediatric nurse
practitioner is fulfilling, because of helping others. The research will describe the career of a pediatric nurse
practitioner, what is required to become a victorious nurse practitioner, and the impact this career have on the
world ("100 Entertaining & Inspiring Quotes for Nurses") The early history of a nurse practitioner was in the early
1879, a concerned citizen, which were using the name "Fireside" Penned was an emotional letter to the editors of
the Boston Evening Transcript. The letter published for the heartfelt appeal to the citizens of Boston on behalf of
the city's Children 's Hospital on January 22. It hospitalized children often resided at the institution for months, the
children were given few therapeutics, at least according to today 's standards. Physician Abraham Jacobi, was
considered by others to be the founder of modern pediatrics that offered the first medical lectures on the diseases
of childhood.In 1880, Jacobi and a few others were interested physicians founded the American Medical
Association's section on the diseases of children. Overtime the proportion of children began to fall, but while the
number of those suffering from chronic medical conditions.One of the earliest children's hospitals admitted to
abandoned children, who

Nurse Practitioner (APRN)
A Nurse Practitioner can be defined as the performance of advanced– level nursing actions, with or without
compensation and by a licensed registered nurse with advanced education, knowledge and skill.
Nurse Practitioners are referred to as the following in Washington D.C. Advanced Practice Registered Nurse
(APRN) or Nurse Practitioner (NP). The agency that regulates Nurse Practitioners in D.C. is the Board of Nursing.
There are numerous qualifications required by the state prior to giving the permission to becoming a APRN. one
must complete graduate program that is nationally accredited by an agency recognized by the United States
Department of Education (USDE). In addition to the classes, one must complete a preceptorship that is at least

Nurse Practitioners : A Nurse Practitioner
Nurse Practitioner
When somebody needs to go to the doctor now a days, they might not necessarily see one, it most likely would be
a nurse practitioner. They do the same job as a physician more or less but are a little different in other words, they
are less expensive & they are more hands on, so to speak, being more one on one with the patient & their needs or
wants in dealing with illnesses, broken bones, diseases, common cold, or loss of loved ones. They go further than
a normal physician would. Today, there are over 205,000 nurse practitioners in the united states today (American
Association of Nurse Practitioners).
The first nurse was formed during the Christian era and their education was passed on orally from generation to
generation, they didn't have to go to a school or have to spend so many hours at a clinic. Females or infants born
with the placenta covering their face were meant to be a nurse or were to work in the medical field. The ideal
nurse was to be selfless, helpful, and sacrificed themselves for others they never put themselves first. Nurse care
was done inside homes unless you had no family in the area then you would take them to the nearest hospital, the
first hospital was established by a woman named Fabiola. During the early years of modern Europe nurses fought
with their patients, stole and lied to them, came to work drunk, and used foul language around their patients while
working. During this time they only worked for a few hours then they

Nurse Practitioner Aspirations
My career aspiration is driven by my goal of becoming a Nurse Practitioner. I want to be able to have the
autonomy to practice as a provider and contribute my quota in improving the health of the community. I am
excited to learn specific theories that empower nurses as an integral part of the care continuum. The importance of
the foundation laid down by various nursing theorist cannot be over emphasized. These theories have built a frame
work that continues to guide our profession. I am thrilled with the opportunity to immerse myself in studying
Nursing Theories solely as a course. This class will undoubted enlightened me to the great contributions made by
those before me for this noble profession. I am convinced that, at the end of these 5.5 weeks, I will be better
prepared to apply some of the concepts of the nursing theories in my daily practice as a practitioner. It is often said
that "the best ... Show more content on Helpwriting.net ...
The core of nursing is the attainment of optimum care of patients and their families. Understanding the
individuality of each patient; "that all nursing is based on the interpersonal process and the nurse–patient
relationship" is a precursor to attaining the desired outcome of care, Peplau, 1988 (as cited by Chitty & Black,
2007, p 340). For over hundred years, from Florence Nightingale to Jean Watson, numerous theories have emerged
that emphases the very essence of nursing, "care" of the patient (Nay, 2010). Hence, I my personal practice, caring
for the patients also entails caring for the needs of the families. The patient's and their care partners are always in
sync with the healthcare team. The result is, the patients and their appointed care partners are empowered and fully
informed of their health. This approach of care not only increases patient's satisfaction, it also reduces preventable
medical

ROLES OF A NURSE PRACTITIONER
Sabine Dorsainvil NSG5000
South University
The role of a family nurse practitioner is a fundamental portion of the future of healthcare. The role is clearly not
as understood by other healthcare professionals as needed which results in the disagreement if the role of a family
nurse practitioner is even required for primary care. As people are getting older, the need for medical professionals
that can provide patient care to our ever growing population increases. The need for the role of family nurse
practitioners will grow too. The role of the family nurse practitioner, the ability of the FNP to be able to transition
into their role.
The scope of the nursing role has transcended overtime to allow ... Show more content on Helpwriting.net ...
The best way that the nurse practitioner will be able to help the patients is to manage the patients who might have
an acute illness. Since the nurse practitioners will need to be able to diagnosis and treat these illnesses, they are
going to need more training than some of the other nurses would.
The Family Nurse Practitioner (FNP) is an advanced practice nurse with specialized knowledge in family focused
health care. The FNP is responsible for patient care delivery throughout the lifespan which includes diagnosing,
prescribing and examination responsibilities. As the healthcare field has taken on more collaborative and
integrative initiatives, the need for the advanced practicing nurses has grown in demand in efforts to offer more
timely, efficient, and optimal patient care.
"To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health
care organizations and inspiring them to excel in providing safe and effective care of the highest quality and
value" (Jointcommission.org, 2015). These requirements are regimented in the National Patient Safety Goals and
are enforced via surveys and internal inspections to ensure that healthcare institutions abide by the safety
mechanisms put in place to facilitate the optimal patient outcomes and environments. With patient safety as a
primary priority, state

The Career Of A Pediatric Nurse Practitioner
According to Orison Swett Morden "There is no medicine like hope, no incentive so great, and no tonic so
powerful as expectation of something better tomorrow". The career of a pediatric nurse practitioner is fulfilling,
because of helping others. The research will describe the career of a pediatric nurse practitioner, what is required
to become a victorious nurse practitioner, and the impact this career have on the world ("100 Entertaining &
Inspiring Quotes for Nurses") The early history of a nurse practitioner was in the early 1879, a concerned citizen,
which were using the name "Fireside" Penned was an emotional letter to the editors of the Boston Evening
Transcript. The letter published for the heartfelt appeal to the citizens of ... Show more content on Helpwriting.net
...
During the depression in the 1930s, nurses again went into action, providing healthcare to children through the
Child Health Recovery Program and later through the Social Security Act. The importance of nurses to the success
of child health programs became clear again in the 1960s through their participation in Medicaid fund programs
and in the new infrastructure needed to support 1975 legislation that guaranteed a quality education for all
children. Although the majority of physician's assistants and nurse practitioners provided general medical care for
adults and children.Today is essential for chilren's health care delivery is the school based health clinic, where
school nurses and pediatrics nurse practitioners address epidemics of child obesity,asthma, mental health, and also
behavioral problems. ( "Late–Nineteenth and Early–Century Pediatrics")
Pediatric nurse practitioner mainly focus on providing general care to patients of all ages, they also provide direct
care for their patients through administering medications, assisting with medication and rehabilitation.They help
prevent injuries and diseases, promote healthy living, and care for the sick.Pediatric nurse practitioners attend to
the patient 's needs with care, compassion and understanding. The specific duties to an pediatrics nurse practitioner

A Nurse Practitioner
In 1893 a graduate nurse, Lillian Wald, founded the Henry Street Settlement (HSS). The purpose of HSS was to
assess the needs of the poor population that lived in the overcrowded, and rat infested tenements. The HSS visiting
nurse program visited thousands of patients and obtained standing orders for emergency medications, and
treatments. In the 1930s developed the Frontier Nursing Service (FNS) which was considered to be the first
primary Nurse Practitioner (NP) role. The FNS nurses made diagnoses, and treated patients, while dispensing
herbs, medicines with the acceptance of the medical advisory committee. In 1931 American Association of Nurse
Anesthetists (AANA) was founded. In 1965 Pediatric Nurse Practitioner (PNP) certification ... Show more content
on Helpwriting.net ...
When asked how HW sees the work she is doing, she quoted part of BMC's mission statement "providing
exceptional care to all regardless of their abilities to pay for services". BMC is a teaching hospital and HW works
diligently with an interdisciplinary team of colleges beginning with: an attending physician, a second ACNP, and
resident physician. HW states that the state regulates NP practice and her role as an ACNP at this institution is
within state regulations. All ACNPs goes through re–credentialing every year where regulations and scope of
practice are reviewed by BMC. HW verbalizes that the "job duties" are loosely defined in the job description.
When a patient is transferred out of MICU, HW expresses that she informally follows her patient's progress after
their transfer out of MICU, but does not see the patients in an outpatient setting. A plan of care is implemented and
documented at the time of transfer for the accepting team that assumes responsibilities of care. HW talks about
malpractice insurance and that she chooses to carry her own insurance. HW verbalizes she has never seen the
malpractice policy at BMC, or been informed that institution has one for APRN. Employee based insurance
contracts are tailored to protect the institution, and are not marked to the individual APRN (Hamric, pg 572). HW
does possess prescriptive authority in the state of Massachusetts. HW expresses that she works directly with
attending physicians

Introduction:
"A new idea is first condemned as ridiculous and then
Dismissed as trivial, until finally it becomes what Everybody knows" – William James.
The nursing profession has encountered a multitude of complex changes in recent years. Many of these changes
resulted from events such as restructuring of the health care delivery system, burgeoning technology and health
information, increasing mobility of nurses with in and between countries, escalating multi–generational
workforce, increasing cultural diversity in world and changing population demographics (Anthony, 2006 : Tomey,
2009). Finally in 1998 bill 42 was passed for licensure of nurse practitioners.
Nurse Practitioner:
Nurse Practitioners are registered nurses with ... Show more content on Helpwriting.net ...
( CNPE)
One year supervised practice under a NP or a physician.
CNO currently registers for the following three specialities
Nurse Practitioner–Primary Health Care (NP–PHC)
Nurse Practitioner–Paediatrics (NP–Paediatrics)
Nurse Practitioners–Adult (NP– Adult).
Places of Employment: Nurse practitioners are employed according to their specialisation such as acute care ,
family health, Neonatal health , oncology, psychiatric, women's health,
Gerontology or in a wider super speciality such as dermatology, immunology or emergency.
Collaborations with RN and RPN:
They provide guidance and supervision in decision making and in improving the quality of care provided.
Guide the registered nurses and RPN in outlining practice expectations and golden standards of client oriented
care.
Continuous ongoing research trials and set standards.
Values and Contribution to client– centred care: The practice of nursing is the promotion of health and assessment
of the provision of care for and the treatment of health conditions by supportive , preventive , therapeutic,
palliative and rehabilitative means in order to attain or maintain optimal function (Nursing act,1991).The Nurse
practitioners are authorised to carry out the following such

Role Of Nurse Practitioners On The Health Industry
Introduction
Definition of Role
Over the last few years, the nation health system has gone through some significant changes. Factors such as rising
costs of healthcare, population increases, aging in the population as well as divergence in the health division has
played a large role in shaping the health industry. Nursing is one of the professions has gone through a paradigm
change in its organization and capabilities, structure and role stipulations (AHRQ, 2015). Nurse Practitioners
(NPs) are registered nurses who receive advanced education and clinical training, in a wide variety of areas that
range from preventive and acute health care services to individuals in all age groups. Nurse practitioner is usually
involved in the direct practice of nursing, care, and medicine. At the same time, majority of nurse practitioners
practice their skills in several different areas but most are in an ambulatory setting as compared to other nursing
roles that are in an acute care setting (AHRQ, 2015).
A nurse practitioner squarely falls under the clinical department of both medicine and nursing. This is because the
primary role of a nurse practitioner is to provide direct care to the patient as well as delegated medical services.
The oversight is done indirectly and directly by a physician. Additionally, a nurse practitioner diagnoses, contains
and manages acute and episodic illnesses. At the same time, they also act as advocates of health promotion and
disease prevention. Other

The Role of Nurse Practitioners in Reducing Healthcare Costs
In the United States, not every individual has the privilege of affording the necessary medical attention.
Socioeconomic status has an impact on the health outcomes of individuals, as a result, many people who are
uninsured go through their daily lives without assisting to a yearly physical or a primary care visit when they feel
ill. This leads to an increase in emergency room visits, which increases healthcare costs. The increased healthcare
expenses are greatly related to the decreased availability of primary care services, and the excessive emergency
room visits. This paper will explore the benefits of allowing nurse practitioners to provide primary healthcare by
delving into ... Show more content on Helpwriting.net ...
This is partly due to the differences in pay for specialists and primary care physicians. With the increased shortage
of primary care professionals, advance practice registered nurses could assume the responsibility and therefore aid
in lowering healthcare costs
There are various ways that nurse practitioners can improve primary care while simultaneously reducing
healthcare costs. According to Naylor and Kurtzman (2010), "the average cost of a nurse practitioner or physician
assistant visit is 20–35 percent lower than the average cost of a physician visit" (p. 895). This could result in
approximate savings of 4.2 million to 8.4 million dollars between the years 2010 and 2020 (Naylor & Kurtzman,
2010, p. 895). Nurse practitioners are able to provide patient centered care geared towards the prevention and
management of chronic diseases such as diabetes and hypertension.
Economic Factors
In order for individuals to have access to medical services, they must have a method of payment, whether it will be
out of pocket, private insurance, employment based insurance, or government financing. The access to care also
depends on the availability of medical professionals and the accessibility of resources (Bodenheimer & Grumback,
2012, p. 17). Even those who have the privilege of having insurance might not seek care for minor issues due to
various copays and out of pocket payments.

Family Nurse Practitioner Interview Paper
For this assignment, I had the opportunity to interview Samantha Hage De Reyes, family nurse practitioner,
currently working at the University of California, Riverside (UCR) Health Center in Riverside, CA. Family nurse
practitioners are described as health professionals with analytic skills for evaluating and providing evidence–
based, patient–centered care across settings, and advanced knowledge of the health care delivery system (Hamric,
Hanson, Tracy & O'Grady, 2014). My objective was to ask a series of questions pertaining to the role of a family
nurse practitioner, challenges concerning this nursing role, opinions regarding the future of family nurse
practitioners, and more. This interview was conducted over the phone, and it was a valuable opportunity to learn
more about what it means to be a family nurse practitioner and to start thinking about what I want to achieve in my
own ... Show more content on Helpwriting.net ...
Samantha stated that initially many people asked her if she chose to be a family nurse practitioner to be a "mini
physician" (S. Hage De Reyes, personal communication, June 22, 2016). In her perspective, it has been an issue to
show others in health care professions that nurses just want to expand their knowledge. She "fights battles every
day" for her patients because of the holes in our health care system (S. Hage De Reyes, personal communication,
June 22, 2016). In her experience, she has seen many individuals without insurance. She has learned that being a
family nurse practitioner is being an advocate for the patient and helping them get the resources that they need.
Family nurse practitioners help provide care in a more affordable way. In Samantha's opinion, family nurse
practitioners are the answer to creating access to care for the large uninsured population and those that are newly
insured under the Affordable Care Act, and I could not agree

Nurse Practitioners as Primary Care Providers Essay
Nurse Practitioners as Primary Care Providers
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs
enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining
adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological
advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated
amongst the nation's political and healthcare leaders. The aging baby–boomers and the increased number of
uninsured people add to the equation of population growth which results in limited access to primary healthcare
for the entire public. On the ... Show more content on Helpwriting.net ...
Often times, the retail clinics are located near the patients' homes and offer unconventional office hours. Operating
every day of the week, patients are usually seen as walk–ins with minimal wait times. Prescriptions can also be
immediately filled while they shop for grocery or personal care items in the drug store. Moreover, the cost for the
efficient quality care is relatively small compared to that of visiting primary care physicians' practices. A usual
visit to the retail clinic can run between forty to seventy dollars depending on the depth of the service.
Convenience care clinics that are purposely designed to be housed in retail stores with high traffic volume have
existed to accommodate the public's quest for convenience and wellness (Hansen–Turton et al., n.d.).
Although the retail clinics are fairly a new concept, the family nurse practitioners strictly adhere to the profession's
scope of practice and established protocols set forth in each retail company. The scope of practice for nurse
practitioners however differs from state to state. This lack of consistency creates a hindrance to the fullest
potential that the NPs can practice in certain states. Regardless, all NPs in every state are eligible for direct
Medicaid reimbursement and Medicare Part B services according to the 1997 Balanced Budget Act (Hansen–
Turton et al., n.d.). With or without the physician's oversight, the FNPs practice safe care within their advanced
practice

An Application For Cbu 's Nurse Practitioner
Former U.S. Representative for Texas, Solomon Ortiz, once stated "Education is the key to success in life, and
teachers make a lasting impact in the lives of their students." For my capstone project, my team and I chose to
develop an application for CBU's School of Nursing. Our capstone project attempts to prove Ortiz correct by
providing CBU's Nurse Practitioner students with an educational application that prepares them for success in
their health care environment and providing CBU's Nurse Practitioner professors with the tools to make lasting
impacts on their students. To make the utmost impact, our capstone team began by carefully eliciting the
requirements from the head professors of CBU's Nurse Practitioner program. After elicitation ... Show more
content on Helpwriting.net ...
Moreover, the social skills obtained from our application enable CBU's Nurse Practitioners to have a positive
impact for God's Kingdom through the connections and interactions they have with patients and hospital
colleagues. They are provided the chance to live out and share the gospel.
In a global context, our capstone project will also have a social impact by providing any university with real–life
experience for their students. Students will have the chance to enter their work environment with more preparation
and comfort. They will also be able to receive feedback from their patients so that they can improve upon their
interactions with patients. Ultimately, this will lead to higher satisfaction for patients and hospitals. Our project
can provide the health care system with more satisfaction among patients and improved analytical skills among
Nurse Practitioners. Our capstone project also has a major economic impact on the local community and in a
global context. In the local community, we are providing free software for CBU's Nurse Practitioner professors
and students to utilize. From prior research for developing our capstone project, we discovered that the hospital
simulation software can range anywhere between four hundred dollars per individual to upwards of tens of
thousands of dollars. The pricing of reliable and effective hospital simulation software makes for challenging

Nurse Practitioners : A Nurse Practitioner Essay
Nurse Practitioners
Carly Clay
HS101
Professor Stewart
Abstract
A Nurse Practitioner has a very serious job. Being a nurse practitioner is not a job for someone who is not willing
to work hard and be ready for anything at any moments notice. There are many different specialties to being a
nurse practitioner such as emergency care, pediatric. Nurse practitioners work long hours and can work anywhere,
from a doctor's office to a hospital.
Introduction
Becoming a nurse practitioner is a common career now a day. There are many different places that a nurse
practitioner could work. Family Nurse Practitioners are on the front line of working with families to ensure the
health and well being of a wide range of people. Nurse Practitioners can work long, hard hours for a well paying
salary.
Definition
Nurse practitioners work with other doctors to ensure that patients stay healthy or become healthier once again.
Due to their training in clinical medicine, nurse practitioners are able to make diagnoses and treat patients for
many different health problems (Family Nurse Practitioner (FNP), n.d.). Although nurse practitioners are not
doctors, they are advanced registered nurses. The description of duties that are expected of a nurse practitioner are
as followed: developing treatment plans for different conditions, educating patients on proper healthy habits,
conduct exams, preform different tests and exams, caring for patients and helping prevent further sickness,

Professional Goals As A Family Nurse Practitioner
Professional goals essay for admission: Family nurse practitioner I was born in a rural community in India. I
always want to be the doctor to help & treat the people who are suffering from illnesses. My interest in health care
was due to my father & my uncle. It was my father who suggested becoming a nurse. He & my uncle told me that
the health care system could always use more nurses, as they were the backbone of patient care. He stated there
were many areas of nursing I could practice in, however, if I wanted to play a larger role in the management and
determining of patient care I should look into becoming a Family nurse practitioner. I believe that "Once you
decide on your occupation, you must immerse yourself in your ... Show more content on Helpwriting.net ...
I will be steps closer to my aspiring goals. However, most importantly the graduate program will help me reach
my primary goal of impacting the health of the community as a whole. My dream of becoming a Family Nurse
Practitioner will allow me to help patients increase their overall health outcomes while managing their primary
health concerns. I see myself specifically working as a Family nu Nurse Practitioner with different population
across the life span from newborn to geriatrics in a family clinic aiding those with less access to healthcare
resources. Being working as RN in the hospital setting, I witnessed numerous family and community members fall
susceptible to diseases that could have been prevented or better managed with the correct help. As a Family Nurse
Practitioner, I want to effectively assess, diagnose, educate, communicate, follow–up, and provide personalized
holistic care. As I mentioned before becoming a family nurse practitioner will give me the professional latitude to
diagnose, prescribe, and manage the overall care of a patient including the emphasis on prevention and education
throughout the patient's

Role Of The Family Nurse Practitioner
The Role of the Family Nurse Practitioner in Advanced Nursing Practice Although advanced nursing practice is a
broad field with several roles defined within, the author of this essay has identified the role of the Family Nurse
Practitioner (FNP) as the focus for this assignment. The FNP role was selected as it is the specialty track in which
the author is furthering his professional nursing education. The Family Nurse Practitioner is a Registered Nurse
(RN) who possesses advanced clinical training, skills, and competencies acquired through the completion of a
Master's or Doctoral nursing degree in order to provide family–centered primary care to individuals across the
lifespan. (American Association of Nurse Practitioners [AANP], 2015). Family Nurse Practitioners practice
independently in several states, although some states require that a collaborative agreement with a physician be in
place. The scope of practice of the FNP mirrors that of a Family Physician and the education and training of the
FNP overlaps into the specialty area of Family Medicine in that conducting physical examinations, diagnosing,
ordering and interpreting tests, as well as prescribing medications are intricate parts of their responsibilities; much
like a primary care physician's. Because of the more holistic nature of the nursing profession, there are some
unique characteristics that differentiate an FNP from other primary care providers. There is a marked focus on the
well–being of the

Nurse Practitioners In The Nursing Field
The Impact of Nurse Practitioners in the Nursing Field
Today, in the United States there are some people who do not know what a Nurse Practitioner is? Therefore, a
Nurse Practioner is a nurse that "is responsible for managing health problems and coordinating health care for the
perioperative patient in accordance with State and Federal rules and regulations and the nursing standards of care
(assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment
plan, and evaluation of patient status)" (CCI, 2016). To become a Nurse Practioner some nurses must receive a
master's, post–master's, or a doctorate's degree including up to 5 years of experience ... Show more content on
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Since the development of this role during the Vietnam war, now many nurses can increase their skills, experience,
and education to become one of the most prominent careers any Registered Nurses can be. Therefore, today in the
United States, many Nurse Practioners can study and focus on a certain specialty units in their career such as
Pediatric Nurse Practioner who can provide care for babies, young children, and school aged children. With Nurse
Practioners on the rise in the nursing field, many patients are receiving more satisfactory care from them because
they are taking the time to accurately assess, diagnose, and treat their patients with the proper care possible.
Without Nurse Practioners, we would not have had a detailed perspective on healthcare and the patient's health in
general. Therefore, Nurse Practioners set an example for every Registered Nurses since history that they have the
possibility of advancing in their careers in the medical field by expanding their skills and clinical experiences; as a
result, by doing so they can get a different perspective of healthcare that no one has yet to

Nurse Practitioner Report
As our healthcare system continues to evolve with the passage and adoption of the Affordable Care Act (Obama
Care), new laws and regulations related to medical services reimbursement is also developing. However,
disparities continue to exist between medical providers and third–party practitioners such as Advanced Nurse
Practitioners(ARNP), leading to a lack of autonomy or independent practice (Woo, & Robinson, 2016). According
to (Hain, & Fleck, 2014), many Nurse Practitioners report that payer's policies have a critical impact in the way
they care for patients and negatively reduces their ability practice to their full extent of their clinical expertise and
education.
Payer policies and reimbursement are closely linked to state practices, ... Show more content on Helpwriting.net ...
Such limitations in the services that are reimbursed to the advanced practitioner put in place barriers detrimental to
the improvement of health care outcomes. These obstacles, prompt me to rank Florida State amongst the lower
ranking state to practice as an Advance Nurse Practitioner. References:
Hain, D., & Fleck, L. (2014). Barriers to NP Practice that Impact Healthcare Redesign. Nursingworld.org.
Retrieved 29 April 2017, from
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol–
19–2014/No2–May–2014/Barriers–to–NP–Practice.html
Florida Dept. of Health, Divs. of Medical Quality Assurance, Boards of Nursing and Medicine. (2006).
Hsc.usf.edu. Retrieved 28 April 2017, from

Nurse Practitioners
Madison M. Stanfield
Ms. Edwards
General Paper
23 January 2017
Nurses and Nurse Practitioners and their Impact The idea of nursing actually pre–dates the 19th century, but the
first professional nurse is Florence Nightingale. Traditionally, only sick people with families could get the level of
care needed, but Nightingale realized the mistake in that assumption. If one didn't have a family they couldn't get
the correct level of care. During the Crimean War, Nightingale helped clean the soldier's wounds, provide
wholesome food, and generally keep the wounded tent clean. This drastically reduced the amount of casualties and
thus the idea of professional nurses was born. A few years down the road, physicians gave nurses a more in–depth
education ... Show more content on Helpwriting.net ...
RN's are the most common and numerous who deal with everything from starting IV's to dealing with a baby with
an allergic reaction. Of course, it depends on what area they are studying, but they are equipped for most things
that many people aren't. Nurse practitioners teach parents about nutrition and healthy lifestyles while also
administering their care. Finally, doctors of nursing are leaders who make bold decisions in the healthcare world.
They are the ultimate end–game for any nurse wishing to be something even more amazing. Even though the road
to becoming any one of these levels is tedious and requires hard work, that's exactly what a nurse is: hardworking.
Unfortunately in the United States, there has been a shortage of nurses. This shortage is making an already
difficult job even more difficult. With all of the fantastic school available in Florida, it is obvious anyone who is
ready for a lifetime job of caring for other people and bringing them a certain level of medical care will do well in
furthering their

Healthcare Reform From The Nurse Practitioner Perspective...
Healthcare Reform
Healthcare reform has been debated throughout history, and continues to be a debate today. An initial healthcare
plan was supported by Theodore Roosevelt in 1910. He campaigned on the promise of national healthcare, but he
was defeated. Harry Truman proposed it thirty years later but the plan was vigorously opposed by American
Medical Association (AMA) as socialized medicine (Palmer, 2010). As a Family Nurse Practitioner (FNP) who
has been practicing for more than a year, an advanced nurse with a Master of Science in Administration for ten
years, a military nurse leader for twenty years, and a home health and ICU nurse for more than twenty – five
years, I agree that we need to rethink the direction of healthcare. Without ... Show more content on
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According to American Academy of Nurse Practitioners (AANP), NPs rank as one of the fastest growing health–
care professions with more than 135,000 NPs presently practicing in the United States, as opposed to increased
from 125,000 NPs in 2008 (Martin, 2011). The Doctoral of Nursing Practice (DNP) programs positions NPs as
leaders and advocates in policy development (National Organization of Nurse Practitioner Faculties (NONPF),
2005). The NONPF emphasizes entry–level competencies for DNP graduates are influencing health care policy
and evaluating health care policy globally. In fact, exploring other nations' health system problems and solutions
may provide alternatives in managing local, state, and national healthcare needs. Many health system solutions
start by getting involved with our local and state legislators. This area is one, which is an area I am exploring as I
transition from FNP to a potential DNP student.
NPs play a critical part and fulfill an essential role in health care. According to AANP data, 9 percent of NPs
specialize in pediatrics, while another 9 percent focus in women health. However, only 5 percent of NPs practice
acute care while 10 percent of NPs provide care for the elderly, infants and psychiatric patients. Historically, Nurse
Practitioners have provided primary care in rural areas when no other providers were available. In the 1960s,
Loretta Ford,

Becoming A Nurse Practitioner For The University Of...
Approximately 69.2% of high school graduates, in October of 2015, were enrolled in colleges or universities. It is
reported by U.S. Bureau of Labor Statistics that in the year of 2016 the number of high school graduates enrolling
in colleges will increase. Personally, a goal of mine is to enroll into the University of California Los Angeles,
specifically UCLA School of Nursing. The career that appeals to me is one involved in caring for children. As a
result of my interest, becoming Nurse Practitioner in Pediatrics would be the most desirable. UCLA is finest
option in Medical Schooling around my location of interest. It is also the most reasonable for the price with
benefitting high class education. In order to achieve this grand goal, one would need to pursue strongly a schedule
in advanced academics as well as extra curricular activities to attract attention to the university application. A
career in Medicine is one of the best options in occupations. As result of it's reasonable amount of work in
schooling for its tuition, it is practical in job application, finally Medicine is extremely beneficial for future
financial income and retirement. Pediatric Nurse Practitioners serve as primary health care provider below a
physician as well as work with patients from infancy to young adulthood, diagnosing illness, conducting exams,
and prescribing medication (Johnson–Johnson, 2016). The demand of nurses and those with a medical degree have
been increasing dramatically

Nurse Practitioner As Theorist
Pamela Reed's Practitioner as Theorist describes the Nurse Practitioner as an "untapped resource" (Reed, 2008) in
the development of unequivocal nursing theories. Reed believes "theories and theorizing" (Reed, 2008) are
integral to clinical practice, but nurses fail to see commonality between concepts and patient outcomes (Reed,
2008) hindering knowledge advancement.
Nursing theory development is a direct reflection of changing philosophies within science (Reed, 2008), allowing
for explanation of abstract concepts of health as technological advances occur. Florence Nightingale, the first
nursing theorist (Peterson & Bredow, 2004), used British empiricism (Reed, 2008), knowledge based on
observable phenomenon (Peterson & Bredow, 2004), to ... Show more content on Helpwriting.net ...
Reed believes practiced–based nursing, or "theories developed in action" (Reed, 2008), are capable of adapting to
the complex exchanges between the environment and the health status of patients (Reed, 2008). Guerilla–based
theories are "unconventional, culturally–sensitive" (Reed, 2008) and "dedicated to a human cause" (Reed, 2008).
Guerilla Theorizing utilizes the abilities of nurses to use abductive reasoning and to act as a "bricoleur" (Reed,
2008), a French term describing a person who works with available resources to correct problems, to develop new
theories within nursing practice (Reed, 2008).
Guerilla theorizing is logical as a foundation for nursing practice because it incorporates the ingenuity of
improvisation (Reed, 2008), "nursing and contemporary science" (Reed, 2008) and input from both patients and
health–care employees (Reed, 2008) to develop clinically relevant theories. Guerilla Theorizing embodies the
dynamic and humanistic nature of nursing practice, allowing for theory adjustment upon the discovery of new
information or when the context of a situation

Interview With A Certified Nurse Practitioner
Our healthcare system is ever evolving, remarkably changing the sphere of nursing practice. The roles of
Advanced Nurse Practice practitioners are expanding, taking up a multitude of roles across a diversified healthcare
specialties. Advance Nurse Practice practitioner stands as leader in this comprehensive profession bridging the gap
in management and clinical aspect of care (McDermott & Morant, 2010), reflecting the complexity of culture,
organization and practice setting (Hyrkas & Dende,2008) to improve the quality of patient care. This paper is
about the interview with a Certified Nurse Practitioner. The Certified Nurse Practitioner interviewed is from the
Hematology/Oncology Department in one of the university affiliated hospitals in Chicago. The purpose of the
interview is to learn about the competencies needed to successfully perform the various roles of a Certified Nurse
Practitioner in this complex health system. The rationale of the interview process is to give an opportunity as a
graduate student to "assimilate primary care competencies into specialty nurse practitioner practice that exemplify
professional value, scholarship, service, and culturally global awareness" (Chamberlain College of Nursing, 2014)
that can be advantageous for my professional development. The interview showed the importance of knowledge of
competencies appropriately applied in practice essential in the functions and roles of a Certified Nurse Practitioner
within the scope of practice for

The Mandatory Regulation Of Nurse Practitioners
New York has joined 16 other States and the district of Columbia in the abrogation of the mandatory regulation
that required nurse practitioner to deliver primary care under the supervision of a physician. Dr. Jauhar, explained
that the reason behind this law is due to the scarcity in the expanse of primary care physicians. He argued that
Nurse Practitioners are thought to be cost–effective because they are remunerated lesser than medical doctors,
however, that's not the case Mr. Jauhar elaborated that Nurse Practitioner, though an asset to medicine, aren 't
equipped with enough training and clinical hours to practice self–sufficiently. For example, research from 1999,
determined that nurse practitioners ordered more diagnostic test such ... Show more content on Helpwriting.net ...
In his closing remarks, he makes an authoritative and disparaging statement that primary care providers should be
doctors and an increment in salary will attract the best from medical school. This suggest that money is force as to
why individuals become physician and patient care is the reason why individuals enter the field of nursing.
Overall, sentences are well structured and is easily understandable to the audience who are not in the healthcare
field.
There is no falsehood that there has a been a shortage in primary care physicians. Petterson, Liaw, Tran, &
Bazemore (2015), anticipated a shortage of over 33,000 primary care physicians by 2035. The American
Association of Nurse Practitioners (2012) describes Nurse practitioners as registered nurses who have innovative
knowledge, enhanced clinical training and have completed graduate or doctoral degree from an accredited
institution. Nurse practitioners are contributing tremendously to the field of nursing and health care by providing
high quality primary care especially to low income and minorities nationwide. In reference to Ryan & Rahman
(2012), in rural communities, there's a high demand for primary care and a shortage of primary care providers,
however, nurse practitioners are willing to fill the void and provide health care services such in communities even
when physicians are unwilling.

My Career As A Nurse Practitioner Essay
Ive always wanted a rewarding career that revolved around helping people. I want to pursue a career as a nurse
practitioner. I am not sure on what specialty I want. So given a assignment in my Introduction Health Sciences
class where I have to shadow a nurse practitioner, it gives me the opportunity to explore a specialty and see what it
really is like in their typical work day. An advanced practice registered nurse, by the name of Mary Carlson at
Parkland Medical Center was willing to let me shadow her for a day. Carlson graduated with her BSN from
Boston College. She then pursued a graduate degree from Boston University. Her official title is, Nurse
Practitioner, Emergency Medicine. I had the chance to shadow Carlson through a family friend that she works
with. I have always been fascinated by emergency medicine, so I was naturally very excited to shadow her.
Through email Carlson told me her shift was from 10am – 6pm. She also told me to wear comfortable shoes, since
her job is very faced–paced. I arrived at Parkland Medical Center at 9:55. I checked in at the front desk in the
emergency room. I waited for fifteen minutes, the lady at the front desk said she was caught up with a patient.
"Already?" I thought, I knew then I was in for a busy day. When Carlson finally came out, she greeted me and
showed me to her desk where I could put my stuff. She noticed my lunchbox and said while laughing, "hopefully
we'll have time for lunch today." She immediately introduced me

Nurse Practitioner Core Competencies and Professional Roles

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