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Related Experiment Videos

Clinical practice: new challenges for the advanced practice nurse.

J C Bartel1, B Buturusis

  • 1Cardinal Bernardin Cancer Center, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153, USA.

Seminars for Nurse Managers
|May 28, 2002
PubMed
Summary

Advanced practice nurses (APNs) face workforce shortages and increased demand. However, legislative changes and growing physician acceptance create new entrepreneurial and collaborative practice opportunities for APNs.

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Area of Science:

  • Healthcare Policy
  • Nursing Practice
  • Public Health

Background:

  • Nursing workforce faces shortages in students and faculty, an aging workforce, and lagging salaries.
  • Increased demand for nurses is driven by aging populations, rising patient acuity, technological advancements, and expanding practice areas.
  • The Balanced Budget Act of 1997 created new avenues for advanced practice nurses.

Purpose of the Study:

  • To examine the challenges and opportunities for advanced practice nurses (APNs) regarding supply and demand.
  • To explore the impact of the Balanced Budget Act on APN practice and entrepreneurship.
  • To identify opportunities for expanding collaborative practice arrangements and independent ventures for APNs.

Main Methods:

  • Literature review and analysis of legislative impacts on nursing practice.

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  • Examination of supply and demand factors affecting the nursing workforce.
  • Case study of an entrepreneurial venture (Community Wellness Center) for APNs.

    • Main Results:

    • Significant challenges exist, including nursing shortages and an aging workforce, contrasted by increased patient demand.
    • The Balanced Budget Act enhances APN autonomy in service provision and independent billing.
    • Growing physician acceptance and changes in medical education foster collaborative and independent practice opportunities.

    Conclusions:

    • Advanced practice nurses are well-positioned to leverage legislative changes and market demands for entrepreneurial and collaborative roles.
    • Independent practice models, such as Community Wellness Centers, offer benefits for both APNs and community health.
    • Ethical considerations and community-focused care are paramount as APNs navigate evolving healthcare landscapes.