The Contemporary Role Of The Nurse Practitioner - 1628 Words

Abstract This paper explores the contemporary role of the nurse practitioner in the care of U.S. veterans within the Veterans Health Administration (VHA) system. The VHA is is one of the largest employers of advanced practice providers (APPs) in the United States. Currently some role confusion exists between nurse practitioners (NPs), physician assistants (PAs) and physicians within the system. In addition to role confusion, NPs are practicing at various levels across the country demonstrating a lack of standardization of care within the VHA. Additionally, not all practitioners are currently practicing to the full scope of their training and are often unfamiliar with the scope/role of their colleagues. The data suggests that all three†¦show more content†¦About the time of WWI, Congress began the work to create a system that would provide U.S. veterans with programs for disability compensation, insurance for veterans and service personnel, and vocational rehabilitation for the disabl ed (The Department of Veterans Affairs, 2015a). At the time the goals were established, the programs were managed by three fractured agencies: The Veterans Bureau, the Bureaus of Pensions of the Interior Department and the National Home for the Disabled Volunteer Soldiers. The first of two agency consolidations took place in 1921 creating the Veterans Bureau (VB) (The Department of Veterans Affairs, 2015a). The new organization combined all WWI services with the Public Health Service Hospitals. In 1930, the recently formed Veterans Bureau would be elevated to federal agency status and the VA is born. The purpose of the agency at this time was to â€Å"consolidate and coordinate government activities affecting war veterans† (The Department of Veterans Affairs, 2015b). Included in the first consolidation was the transfer of the 1,400 nurses working within the Public Health Service Hospitals to the Veterans Administration. With the addition, the VA Nursing Service now employed 2 ,500 registered nurses (The Department of Veterans Affairs, 2015b). The VA Nursing Service followed a similar trajectory of expansion and evolution as the agency itself did. The role of the nurse within the VA system has included calls to combat, serving as militaryShow MoreRelatedDp Nurse Essay818 Words   |  4 PagesFamily Nurse Practitioners with a DNP Degree Empower Patients and Families Soon-to-be Family Nurse Practitioners may find it exhilarating that the medical field is transitioning toward Patient and Family-Centered Care (PFCC). [1] The construct builds on the basic needs of patients and their families, which includes information, emotional support, and togetherness. The philosophy revolves around tenets of respect, information sharing, collaboration, and participation. PFCC practices aid nurses in buildingRead MoreExpanded Nursing Career: Roles, Requirements and Scope823 Words   |  3 Pagesgave nurses more confidence in having more specific role. These developments rejuvenated nursing by the introduction expanded nursing careers. These careers have an immense potential to contribute to the health care system. They allow more scope and liberty of clinical practice in nursing. It gives nurse an opportunity to advance their career. This essay gives an overview of three expanded careers nurse practitioner, midwifery and clinical nurse specialist. Essay also di scusses their roles and careerRead MoreConcept Synthesis Paper On Personal Nursing Philosophy815 Words   |  4 Pagesbecome a nurse sprouted when I went for a mission trip to a Leprosy Hospital near my home town in India. There was still social stigma against leprosy and so called â€Å"Leprosy Sanatorium† was isolated from rest of the world with a huge wall. I remember carrying a bag of clothes collected by my mother for the patients there. I was deeply touched by the smile and gratitude patients showed to the nurses caring for them and cleaning their wounds. That is when I decided that I want to become a nurse. AnotherRead MoreMy Personal Nursing Philosophy For Professional Nursing Practice808 Words   |  4 Pagespassionate and holistic care. My desire to become a nurse sprouted when I went for a mission trip to a Leprosy Hospital near my home town in India. There was still a social stigma against leprosy and so called â€Å"Leprosy Sanatorium† was isolate d from the rest of the world with a huge wall. I remember carrying a bag of clothes collected by my mother for the patients there. I was deeply touched by the smile and gratitude patients showed to the nurses caring for them and cleaning their wounds. That isRead MorePaper762 Words   |  4 PagesMeeting the Need for Qualified Nurses with a Doctor of Nursing Practice (DNP) Since 2015, the American Association Colleges of Nursing (AACN) has promoted doctorate level graduate training for advance practice nurses. [1] The AACN’s Position Statement on the Practice Doctorate in Nursing calls for advanced practice registered nurses (APRNs) to pursue training that enables them to assume organizational roles encompassing increased clinical responsibilities. As the nation’s complex health care environmentRead MoreIncreased Trends in the Use of Mid Level Providers1377 Words   |  6 Pagesturning to Nurse Practitioners. These are nurses with some kind of advanced degree in Nursing. Their job is to diagnose / treat patients and prescribe medication. To fully understand what is happening requires looking at how this trend is having an impact on accountability, quality, costs / health promotion and risk reduction. These different elements will provide the greatest insights as to how Nurse Practitioners are having an effect on a health care environment . The Current Trends with Nurse PractitionersRead MoreIssues And Trends Of The Nurse Practitioner1747 Words   |  7 PagesIssues and Trends Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficultRead MoreThe Nursing Practice Of Nursing851 Words   |  4 Pagesfacilities employ the professionals to assist with patient care. The nursing practice is now a well-paying profession. Despite this, America’s healthcare needs are creating a nursing shortage. Additionally, nurses who seek more challenges in the workplace are taking on roles as advanced nurse practitioners as the United States healthcare system seeks alternatives to satisfy the nation’s doctor shortage. In the Beginning Nursing has evolved in status and scope since its inception. 1 Florence NightingaleRead MoreHIV/STD: Health Promotion Strategies Essay947 Words   |  4 PagesOrganization defines Health promotion as â€Å" the process of enabling people to increase control over their health and its determinants, and thereby improve their health participants.† Contemporary health professionals such as nurse practitioners, nurses, and doctors inform and demonstrate ways on caring for the self. The contemporary view of health promotion is an individual driven prevention assisted by health care professionals. This new style of health promotion lets patients get involved with their healthRead MorePolicy Making : Reinventing Healthcare Part Two849 Words   |  4 Pagesinformation dissemination concerning appropriate personal choices in health maintenance for the individual and the family. The implications for advance nurse practitioners in the reinvention of health care are abundant. There is a need for an increased utilization of advance practice nurses in health care delivery at the family practice level. Nurse Practitioners (NPs) must be allowed to obtain hospital admitting and hospital rounding privileges. Therefore, NPs can perform rounds on hospitalized patients