GREATER NAPLES LEADERSHIPMasters Class XVIII

Healthcare Day, February 5, 2014Denise McNulty Presentation

“Nurse Practitioners and the Future of Nursing”

Presented by:

Denise McNulty, DNP, MSN, RN-BC, ARNP

Introduction & Overview

. 3 million Registered Nurses in the United States

. Of the 3 million Registered Nurses in the United States, 171, 000 are Nurse Practitioners

. 251,113 Registered Nurses in Florida

. Of the 251,113 Registered Nurses in Florida, 17,508 are Nurse Practitioners (Source: http://www.flcenterfornursing.org)

Collier County

. 2,000 Registered Nurses in Collier County

. Of the 2,000 Registered Nurses,

approximately 150-200 are Nurse

Practitioners

Advanced Practice Registered Nurses

There are Registered Nurses who are

educated and licensed as Advanced

Practice Nurses:

. Nurse Practitioners

. Clinical Nurse Specialists

. Certified Registered Nurse Anesthetists

. Certified Nurse Midwives

History of Nurse Practitioners

. The first official training for nurse

practitioners was created by Henry

Silver, a physician, and Loretta Ford,

a nurse in 1965

. This was in response to a shortage of

physicians

(Note of interest: Nurse anesthetists and nurse midwives

were established in the 1940s)

Benefits of Using a Nurse Practitioner

. 600 million visits made to NPs each year

in the United States

. High quality care that is cost effective

. Patients report high level of satisfaction

with the care they receive from NPs

. Care is patient centered = good outcomes

What Do Nurse Practitioners Provide?

. Diagnose and treat acute and chronic conditions such as diabetes, high blood pressure, infections and injuries

. Order, perform and interpret diagnostic tests such as lab work and x-rays

. Prescribe medications and other treatments

. Focus on health promotion - disease prevention

. Provide health education and counseling

Barriers for Advanced Registered Nurse Practitioners in Florida

. One barrier which has captured great

media attention as well as attention in

the Florida legislature is the fact that

Advanced Registered Nurse

Practitioners who work in Florida are not

able to prescribe controlled substances

Rules and Regulations

. Rules and Regulations which govern the practice of Nurse Practitioners are different in each of the states

. In Florida, Nurse Practitioners are referred to as Advanced Registered Nurse Practitioners (ARNP) by title

. In Pennsylvania, Nurse Practitioners are referred to as Certified Registered Nurse Practitioners (CRNP) by title

State of Florida – Regulation of ARNPs

. Advanced Registered Nurse Practitioners in the State of Florida are licensed by the Department of Health – Division of Medical Quality Assurance and the Florida Board of Nursing

. The credentials and education of all licensed Advanced Registered Nurse Practitioners in Florida can be found on the following website: http://www.floridanursing.gov (click on “Look up/Verify a License”)

(includes information on public complaints, proceedings and actions)

Nurse Practitioner Programs in Southwest Florida

. Florida Gulf Coast University has a

Master of Science in Nursing Program

. Nova Southeastern University has a

Master of Science in Nursing Program

(location is on the East Coast of Florida)

. Other schools offer online NP Program

options as well

Affordable Care Act

. The Affordable Care Act supports the utilization of Nurse Practitioners

. A physician shortage is on the horizon most particularly in primary care

. Nurse Practitioners can be a very cost effective and viable option

. Nurse Practitioners are not physicians – nursing has its’ own unique discipline

Example of a Local ARNP Practice

. Denise’s practice – located in Naples near NCH downtown campus

. Established protocol with a Psychiatrist

. Licensed by the Florida Board of Nursing

. Business license (City and County)

. Malpractice insurance

Example of a Local Agency

. The Friendship Health Clinic Collier is

currently managed by a Registered Nurse

who was formerly licensed as an

Advanced Registered Nurse Practitioner

for many years

Professional Associations

National:. American Association of Nurse Practitioners

State:. Florida Nurse Practitioner Network

Local:. Nurse Practitioner Council of Collier County (Naples and Marco Island)

. Gulfcoast Nurse Practitioner Council (Lee County)

Doctor of Nursing Practice (DNP)

. Clinically focused doctorate approved by the

American Association of Colleges of Nursing on

October 25, 2004

. The DNP prepares Advanced Practice Registered

Nurses to serve as Leaders, Educators, and

Clinicians

. DNP education focuses on information

technology, health policy, evidence-based

practice, innovation, and systems management

Doctor of Nursing Practice Programs (DNP)

. 217 DNP programs currently in the U.S. – 116 DNP programs have been nationally accredited by CCNE

. DNP programs are now available in 40 states plus the District of Columbia – Florida is one of the states with the most programs (more than 5)

. From 2011 to 2012, the number of students enrolled in DNP programs increased from 9,094 to 11,575

(Goal: to move the current level of preparation for advanced nursing practice from the master’s degree to the doctorate level by the year 2015)

In Closing

. Nurse practitioners will play a crucial

role in healthcare reform

. Nurse practitioners are your partners

in health

Thank you to all the wonderful patients

who choose a nurse practitioner for their

healthcare needs!

GREATER NAPLES LEADERSHIPMasters Class XVIII

Healthcare Day