Related Experiment Videos
Introducing Advanced Practice Nurses / Nurse Practitioners in health care systems: a framework for reflection and
Sabina De Geest1, Philip Moons, Betty Callens
1Institute of Nursing Science, University of Basel, Basel, Switzerland. sabina.degeest@unibas.ch
Swiss Medical Weekly
|November 14, 2008
Summary
Advanced Practice Nurses (APN), including Nurse Practitioners (NP), offer significant potential to improve healthcare, especially for the elderly and chronically ill. Their integration requires understanding advanced practice nursing concepts and contextual analysis for optimal impact.
Area of Science:
- Healthcare Policy
- Nursing Science
- Health Services Research
Background:
- Growing global interest in integrating Advanced Practice Nurses (APN), such as Nurse Practitioners (NP), into healthcare systems.
- Increased demand for healthcare services due to aging populations and rising chronic illnesses.
Purpose of the Study:
- To conceptually clarify Advanced Practice Nursing (APN) and Nurse Practitioner (NP) roles.
- To introduce a framework for analyzing the implementation and development of APN roles within diverse healthcare systems.
- To present outcomes research on the impact of APN.
Main Methods:
- Argumentation based on data-driven papers and policy reports concerning Advanced Practice Nursing.
- Development of a five-driver framework for analyzing APN integration.
Main Results:
- The proposed framework includes five synergistic and dynamic drivers: population health needs, education, workforce, practice patterns, and legal/policy.
- Outcomes research indicates that Nurse Practitioners achieve clinical results comparable to or exceeding those of physicians.
- Models of care featuring APNs demonstrate favorable outcomes across the six Ds of outcome research (death, disease, disability, discomfort, dissatisfaction, dollars).
Conclusions:
- Advanced Practice Nurses, including Nurse Practitioners, have the potential to significantly enhance healthcare delivery.
- APNs can exert maximum influence by addressing critical societal health issues, particularly the care of chronically ill patients.
Related Concept Videos
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including:
01:30Theoretical Foundations of Nursing Practice
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
01:22The Professional Nurse
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
01:25Fundamentals of Nursing Process II
There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...