Nurse Practitioners

In this essay I will discuss the leadership style of 3 nursing leaders, which I chose from Nursing Leadership DVD (Orazietti & Singh, 2014). I will then describe impact the leaders ' style has on improving nursing care, organizational processes, and inter-professional collaboration. In addition, I will provide some examples of a change process or difficult situation which leaders encountered. Finally, I will explain how I have dealt with difficult situation involving my colleague and one of physician in the hospital department where I worked. Throughout this essay I will analyze what leaders should have done differently. 3 Leaders which I have chosen were Debra Bournes from group 1 because of her political and administrative success, Mina Singh from group 2 because she is renowned for her educational style at York University, and Esther Green from group 3 because she is the sound and knowledgeable practitioner.

P.R. is a 34 year-old male from Guatemala who went to a lake for cliff diving. He dove off of a cliff 20 feet from the water, hitting a rock, and fractured his neck at C6. This left P.R. as an incomplete quadriplegic, with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has

A baby was just born at 26 weeks gestation. Just over half the normal 40 weeks a baby should stay inside the mother. The baby is immediately whisked away and taken to be evaluated and prepared for a long journey ahead. Ever since I could remember babies and the nursery at the hospital have fascinated me. Whenever we would go visit a friend who had a baby, I would find myself peaking over the windows into the nursery. I have known for a while that working in the neonatal intensive care unit is what I want to pursue. Recently I have been looking into nurse practitioners and furthering my education beyond my BSN. Being able to care for these infants in the most critical stages of their life, and being able to provide them the support they need to survive outside the womb seems so satisfying . Neonatal nurse practitioners have years of education, deep history, detailed job description, high demands and some legal issues.

A good protocol is created from evidence-based medical practices agreed on by medical staff involved in anticoagulation therapy (i.e., all stakeholders) and addresses key decision points and respective courses of action integrated with the clinical judgment and experience of the practitioner.

Everyone faces struggles in their life. Some allow those struggles to help build them as a person, others let those struggles tear them down. For me, I allowed my struggles to help me develop academically and personally. Without struggle there is no progress.

The present healthcare system in the United States (U.S) faces various challenges due to changing demographic, economic and political pressures. The need of primary care provides are increasing as a result of increasing access to healthcare, increasing expenditures, and growing populations of the elderly and chronically ill patients. Even with the plenty of evidences that Nurse Practitioners (NP)are well educated, competent, health care professionals who are able to improve access to high-quality health care and lower health care costs, restrictive practice regulations still exist. The quest for NPs independence practice has surpassed and it became a necessary practice transformation to improve the health of the nation (The National Organization

Nurses are increasingly becoming the strong leadership in developing all aspects of health care policy and decisions. Unfortunately the shared consensus is that most nurses do not possess leadership skills adequate enough to keep up with the ever-evolving field. The IOM reports on this by stating: “Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care.” (IOM, 2010 pp.223) It is felt that nurses are depicted as people who carry out

With advances in medicine, Americans are living longer and with chronic illnesses that require long term medical maintenance. As the population has grown with patients that are aging and becoming sicker in the process, there has presented a shortage of physicians to manage this rise in demand. Now, with the passage of new legislation such as the Affordable Care Act, more patients have access to health care than ever before. Many experts have suggested increasing the utilization of Nurse Practitioners and Physicians assistants as a cost effective resource to tackle to rising cost of healthcare amid a physician shortage in America. Several studies have been performed to assess the viability of these options, to address the advantages and

Healthcare in the United States in the 1950’s and 1960’s experienced an upheaval with the expanded availability of the Medicare and Medicaid programs and the increased specialization of medicine. The shortage in providing health care coverage to low-income women, children, the elderly, and people with disabilities gave clinically experienced nurses the opportunity to fill the primary care void. This was accomplished with the introduction of the first Nurse Practitioner program. The NP program was co-created in 1965 by a nurse educator, Loretta Ford, EdD, RN, PNP, and a physician, Henry Silver, MD, at the University of Colorado as a non-degree

Challenges to overcome with this issue may be that physicians could feel as though the nurse practitioner (NP) is not adequately equipped as the doctor would be when dealing with patient care. According to the American Medical Association, “physicians have longer and more rigorous training than NPs, nurse practitioners are incapable of providing quality, safe care at the same level of physicians” (Hain & Fleck, 2014). This statement reflects negatively upon nurse practitioners but also coincides with the inability of a nurse practitioner to practice “to the fullest extent of their education and training” (Hain & Fleck, 2014). Only roughly “one-third of the nation has adopted full practice authority licensure and practice laws for NPs” (Hain & Fleck, 2014). This is another dilemma in and of itself within the health care setting and could be one of the reasons as to why NP are not reimbursed one-hundred percent for their

Hello Megan as you mentioned, Advanced Practice Nurses (APN) are prepared typically in master’s degree programs and especially the Nurse Practitioners (NP) are often team trained alongside medical students sharing the same course work, patient rounds and other onsite clinical experiences. The APNs have either a masters or doctoral degree or a certificate requiring up to two years of additional clinical training. After reviewing the studies conducted in 1986, the Congressional Office of Technology Assessment (OTA) concluded that the quality of care provided by the NPs and physicians was equivalent for comparable services, based on the weight of evidence for both process measures and actual outcomes. These studies also found that quality of care

A Nurse Practitioner can be defined as the performance of advanced- level nursing actions, with or without compensation and by a licensed registered nurse with advanced education, knowledge and skill.

Not all nurses go into the profession with leadership ideas. The nursing profession must produce leaders throughout the health care system. Leaders must function as workers, and administrators with leadership qualities, while still meeting their budgets and running effective units with high functioning and happy staff members. They need to trouble shoot necessary and work with the medical faculty while pleasing their staff and the administers.

Nurse practitioners (NP) are advanced practice registered nurses (APRN) who are educated and trained to provide health promotion and maintenance through the diagnosis and treatment of acute illness and chronic condition. As a future NP, the author of this paper describes her philosophy of leadership, the leadership style which best fits on her abilities, leadership theory appropriate for her role in Family Nurse Practitioner (FNP) and how she envision her leadership evolving the next five years.

I agree with you. Nurse practitioners can provide high-quality, cost-effective care. They bring a patient-centered approach to their care and the results are excellent. They are also part of the health team, either locally or broadly. State regulations are gradually changing so nurses are more likely to have full authority, which means there are no regulatory requirements that prevent us from working in a team environment. Family nurse nurses focus on family and collaboration. The family nursing professional works together with the patient's family and this is crucial because the environment is part of health and the holistic concept is a priority for the future.