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The examples of various settings where primary care nurse is involved are; homes, clinics, community hospitals and mobile settings (Sines & Forbes-Burford, 2009 p.134). The acute nurse practitioner is employed by a hospital or health care system. The roles of acute nurse practitioner are mostly used in surgery, research, and trauma (Wyckoff, Houghton & LePage, 2009 p.12). The acute nurse practitioner diagnoses and manages acute episodic and chronic illness (Nagelkerk, 2006 p.14).
I agree with what Barbara Orange wrote, a registered nurse practitioner who has graduate level of education could acquire advanced clinical knowledge and skills to qualify as an advanced practice nurse(Nagelkerk, 2006 p.5). A registered nurse practitioner has the freedom to choose to work with health care organizations or setup their clinics (Nagelkerk, 2006 p.14). I agree with Barbara Orange that an office setting would be best for patients because the registered nurse would have close contact with the patients (Hamric, Hanson, Tracy & OGrady, 2014). According to Hamric et al. (2014), the Institute of Medicine recommends patient-centered care as the basis of safe, effective and efficient health care. The registered nurses built up therapeutic relationships with patients as a backbone of patient-centered care (p.153). A nurse practitioner who has gone through credentialing and privileging could be allowed to practice in their scope of practice. Credentialing and privileging applied to physicians but because nurse practitioners are hired in various institutions, it becomes vital to credential nurse practitioners (Reel & Abraham, 2007 p.5). I have discovered that a nurse practitioner can work in multiple settings but, can they hold multiple credentials and use them in practice? This question puts me in a dilemma with
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NPs are authorized to practice across the nation and have prescriptive privileges, of varying degrees, in 49 states. The most recent Health Resources and Services Administration Sample Survey report (2008) shows 158,348 Nurse Practitioners in the United States, an increase of more than 12 percent over 2004 data.
The paper also aims at analyzing the Practice Act for Nurse practitioners in various states of the U.S., particularly the Texas State Practice Act for Nurse practitioners. Nurse Practitioner functions and procedures as well as Nurse Practitioner prescriptive privilege information are also analyzed.
The work of a nurse needs to be grounded in theories and practice and involves medical care for patients undergoing treatment.
The need for a nurse practitioner is acute and cannot be overemphasized. They are required by doctors and health institutions to carry out the job of looking after patients on a day-to-day basis.
The dynamics of the healthcare system as it presently stands has forced many to seek primary care services. At this time only one-fourth of medical students select family practice, pediatrics or general medicine. This creates a gap in healthcare that is crucial to be filled. FNP's are very much qualified to step in and fill this role.
They are more or less in a same position to provide patient a care that is generally provided by a physician. They are always in good and close relationships with the patient and are there to provide specialized care to their patients. Nurse practitioners are specially trained in different areas of medicine and provide services in their area of expertise.
Although this problem is global, despite considerable debates and resistance, the role of independent nurse practitioners has evolved through this turmoil. It was clear that a reorientation of health services was due to meet the service users need in a cost effective fashion
After I graduate from my medical education, I want to work in a clinic setting, because, it involves helping a lot of people in the community by promoting health and treatment. My specialty area will be Family Nurse Practitioner (FNP). I aim to perform the role
Ethnographers do not formulate particular, concrete questions; instead, they go to communities, neighborhoods, or homes to observe in a nonintrusive, indirect manner. An example of a research question that an ethnographer could formulate is:
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