Role of Nurse Practioner

8/11/2019 Role of Nurse Practioner

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THE ROLE OF THE

NURSE PRACTITIONER

BYT.PUVANA

II YEAR M.Sc.(Nusing)


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INTRODUCTION

The care nurse practitioners providecan be distributive and episodic.Distributive cares is continuing carethat is directed toward maintenance ofhealth and diseases prevention,

episodic care is periodic and focus onthe patient illness or current healthcare needed.


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Now masters degree programs and thecontinuing education models are beingphased out.

The shift to master programs meansthat more NPs will possess leadershipskills necessary to implement this role inthe changing job market.


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THE LENGTH OF EDUCATIONALPROGRAMS HAS CHANGED

The average length of certificate programs was8.5 months in 1975.

By 1980 this had increased to an average of

11.7 months.

Master degree programs the average length was15.3 months in 1973 and 16.1 months in 1980.

With the trend toward in corporation of NP skillsunder the graduate level curriculum in thefurther more NPs will have masters degree.


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LEGISLATION / CERTIFICATION

Legislative definition of nursing

practice can seriously affect the useof NPs. Nursing literaturedocuments may attempts to limitthe practice of NPs by physicians .


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The Florida Medical Board attemptedto limit the number of NPs employedin that state and force tight new

controls on the practice of the NPsalready certified by the Florida StateBoard of Nursing. Nurses midwives

efforts to practice independently.


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Advanced registered nurses must have

graduated from a national accreditedadvanced practitioner of nursing,program or have passed a nationalcertification examination.

Lowa defines the ARNP as a Nurse who is prepared for advanced nursingpractice by virtue of additionalknowledge and skills gained.


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IMPACT ON PATIENT CARE

Numerous studies documents positive aspectsof NPs in their effects on the health status ofclients and contribution to health care delivery.

Findings of these studies include increased profits for the employer in some

circumstances, saving of physicians time,improving continuity of care, consumeracceptance and performance levels comparable

to that of physicians.


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NPs FUNCTIONS

Abdellah states that Applies the nursing process.

It is accountable to herself and t theconsumer for her service.

Behaves as a decisions maker and risktaken.

Delivers care independently andinterdependently with other healthprofessionals.


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She goes on to state typical settingwhere the NP can function effectively inthe expanded role of primary careprovider are satellite facilities in a rural

or urban area or in acute care settingsuch as intensive care units whereprompt decisions on the part of the

nurse are required.


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DISTRIBUTIVE CARE

The care NPs provider can bedescribed as distributive and

episodic. Distributive care iscontinuing care that is directedtoward maintenance of health and

disease prevention.


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THE CARE IS TWO DIMENSIONAL

The identification, management andreferral of the health problems.

The maintenance of the consumer realby means of preventive and primitivehealth care action typical practicesettings for the primary health carenurse practitioner include out patientclinics health maintenanceorganizations.


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CLINICAL SETTINGS

Direct patient care is the major activityperformed by NPs in ambulatory settings.

A relatively large portion of NP patientcare was in the area of healthmaintenance.

In 1983 Scope of practice surgery foundthat of more than 1,000 respondents68% was employed in ambulatorysettings.


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NPs have provided services toindividuals in underserved area. NPs

are well prepared to prepared to providecare not only in distributive caresettings, but in episodic settings as well.


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Another aspects of episodic care isthe potential for more satisfactorypatient care through primary nursingby NPs in hospitals. The philosophyof nursing promotes the blending ofprofessional nursing roles includingclinical practice consultation and the

opportunity for teaching andresearch.


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Another opportunity for NP care isin nursing homes. The effects of

primary nursing care delivered byfine NPs each carrying a care load ofbetween 30 and 35 nursing homeresidents.


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BARRIERS AND SOLUTIONS

Several approaches are needed to overcome barriers to NP use in episodiccare setting one of the bettercommunication between health careprovides are the NP.

Another solution is identification ofgroups underserved by the otherprovides and program area in episodiccare.


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The absence of skilled nursing innursing homes is well documented.Incorporation of NPs in to hospitals andnursing homes carries with it thepotential for NPs to expand the episodicbased care to include disease,prevention and health primitiveactivities.


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Solution may also be found is sameepisodic care settings where NPs may

provide care instead of the physician.[ Comprehensive nursing care of the

chronically ill and there recovering from

illness can be an economicallyattractive alternative to traditionalexpensive medical care.

Communication with care provides,policymakers, and consumers regardingbenefits from NP employment inepisodic care is essential.


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SUMMARY


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THANK YOU

Role of Nurse Practioner

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