Question

NURS 6565

Week 10 Discussion: State Practice Agreements For APRNs or NPs

This week you will have an opportunity to evaluate state practice agreements in your state and examine issues related to NP practice.

To prepare:

Review practice agreements in your state

Identify at least two physician collaboration issues in your state

By Day 3

Post a brief description of the practice agreements for NPs in your state and the two physician collaboration issues that you identified. Explain what you think are the barriers to NPs practicing independently in your state. Finally, outline a plan for how you might address NP practice issues in your state.

Answer 1

In a state issue two physician collaboration:

The teamwork is very important for the success in the healthcare sector, because the when team works, their combined effect on the productivity is much higher than if we sum of all individual efforts. So in a way teamwork creates synergy through improved work efficiency which reduce costs and increase profits. Collaboration, as labeled includes belief, mutual admiration, common decision manufacture and parity. Teamwork in practice frequently does not unavoidably comprise these characteristics but slightly happens exclusively through recommendations and infrequent discussions amid health specialists. A review of primary health care NPs recognized that numerous bi maneuvering recommendations happen amid NPs and domestic MPs or MPs employed in community health midpoints, but solitary one method recommendations from NPs to authorities were pragmatic. It seems that partnership can variety from a penetrating association and unvarying information conversation amid NPs and MPs to an additional unfriendly and insincere co-existence of facilities providing by NPs and MPs.

No trouble what procedure of partnership is in residence, a quantity of influences can inspire the operative or disappointment of cooperative practice amid NPs and MPs. Prose evaluations and primary investigation have emphasized a number of fences and organizers to cooperative practice and insights of health specialists of working in partnership. These narrate to subsidy matters, outdated role distribution, lawmaking, individual knowledge with and arrogances on the way to collaboration and administrative features. The current analyses emphasis on teamwork in multidisciplinary teams, in hospital locations and teamwork amid general nurses and MPs. Teamwork amid NPs and MPs in primary health care might fluctuate to other locations and parts, since NPs bring augmented autonomy to the clinical scenery that might encounter the conventionally MP conquered area of primary health care, wherever nurses have long been employed to provision the MP and achieve vicarious responsibilities.

Post a brief description of the practice agreements for NPs in your state and the two physician collaboration issues that you identified.

Account on a current approximation with respect to a mounting scarcity of doctors, the status of energies to device references of an IOM account that diagrams a courageous future for nursing, and the extremely adjustable bounds that state possibility of practice laws execute on APRNs. Discussion of these interventions of the FTC into choice of practice matters.

Covering a serious but eventually ineffective dialogue prearranged that affianced a dozen doctors and nursing leaders in exploration of common ground to resolution of the matters that gulf them. The failure of this interchange obtainable a picture of the anxious states of deliberations amid national doctor and nursing administrations over important characters in an developing prototypical of team founded care that depend on on inter specialized partnership as one of its criterions.

Explain what you think are the barriers to NPs practicing independently in your state. Finally, outline a plan for how you might address NP practice issues in your state.

Progressive practice listed nurses (APRNs) should be capable to practice to the full amount of their teaching and training. To attain this goalmouth, the commission endorses the subsequent actions.

-Develop the Medicare program to comprise attention of progressive practice recorded nurse facilities that are inside the possibility of practice under appropriate state law, just as doctor amenities are now enclosed.

-Modify the Medicare program to approve forward-thinking practice recorded nurses to achieve charge valuations, as well as guarantee of patients for home health care facilities and for charge to hospice and accomplished nursing amenities.

-Range the upsurge in Medicaid compensation charges for primary care doctors comprised in the ACA to APRNs as long as alike primary care facilities.

-Bound federal subsidy for nursing schooling agendas to only those agendas in states that have accepted the Nationwide Council of State Boards of Nursing Prototypical Nursing Practice Act and Prototypical Nursing Managerial Instructions.

Answer 2

With additional training and qualification nurses in several countries are recognised as independent professionals. Recently, the idea of nurse practising independently has been gaining monument in Indian health policy circles as well, and the ministry of health and family welfare in contemplating the introduction of nurse practitioners in primary healthcare. The arguments for the need to conceptualize health stewardship, keeping the nursing profession in mind, within the currently doctor-center health system in India. Nurse constitute a major proportion of the health work force, and some of the innovations in health workforce management across the globe have focused on task shifting to non-physician health workers, such as nurses, to decentralise and transform the health system. Nurses in a few countries are performing extended roles with titles such as advanced practice nurse, nurse practitioners,clinical nurse specialists and nurse anaesthetists.

The nurse need to have collaborative practice agreements with physicians to practise independently. There is evidence across globe to show that NPs are increasingly being used as the point of first contact and that patients are as, or more, satisfied with NPs than doctors. The cost of health service is also lower with NPs.

As NPs are not popularly practised or allowed to practice in India, there are efforts being taken For collaboration of INC and Indian legislation to start up training programmes in colleges for NPs.

In countries such as India, where an independent nursing practice is not in place and where nursing education and practice are hampered by several regulatory and quality related issues, frame works on NPs to guide policy should be broader and draw upon other factors on the health system as well.

The INC is working on the curriculum for the course on NPs in primary health care. Indian nurses council has put up detailed notification on its official website,inviting applications from nursing colleges to start courses on NPs in critical care. The course prepares graduate nurse for advanced practice roles as clinical experts, managers,educators, and consultants, which would to an MSc degree in critical care NPs. Chalking out a formal system of licensing/ registering and accreditation of NPs is important in institutionalism the services provided by the NPs in the health system. It is also equally important to have a strong legislation in place to protect the title of NPs.