Healthcare Politics
Kant Patel, Mark Rushefsky in Healthcare Politics and Policy in America, 2019
Advanced practice nurses are carving out a new role in healthcare delivery. The advanced practice nurse is an umbrella term given to a registered nurse who has at least a master’s degree in educational and clinical practice requirements beyond the years of basic nursing education required of all RNs. Advanced practice nurses can be classified into four types: nurse practitioner (NP), certified nurse midwife (CNM), clinical nurse specialist (CNS), and certified registered nurse anesthetist (CRNA). NPs are qualified to handle a wide range of basic health problems, and most of them have specialties, such as adult, family, or pediatric care. CNMs provide well-woman gynecological and low-risk obstetrical care. CNSs are qualified to handle a wide range of physical and mental health problems, and they provide primary care and psychotherapy. CRNAs administer anesthetics given to patients each year (Santiago 2017a, 2017b).
Health and Healthcare Education Current State
Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton in Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 2, 2022
The expansion of graduate education, and especially doctoral education, in nursing in the United States is also noteworthy and will continue to require schools of nursing to assure that the curricula for the various avenues for preparing nurses for advanced nursing practice and for careers as nurse scientists are responsive to the needs of the ever-evolving healthcare system. A recommendation in the 2011 report The future of nursing was to double the number of doctorally prepared nurses by 2020, this recommendation has been far exceeded. While enrollment in 146 research-focused doctoral programs decreased by 5.9% between 2016 (4,883 students) and 2020 (4,597 students), enrollment in 378 Doctorate of Nursing Practice (DNP) programs increased by 56.3% (2016 25,258 students, 2020 39,485 students) (Smiley et al., 2021, pp. 53, 66). The growth in DNP programs has placed considerable pressure on faculty resources as programs have worked to assure that they were meeting The Essentials of Doctoral Education for Advanced Nursing Practice and especially the requirement of a final DNP project (AACN, 2006). In addition, the advanced practice registered nurse programs have to meet the requirements of the various specialties. All of the DNP curricula, including BSN-to-DNP and post-master's DNP, will have to be re-envisioned given the 2021 Essentials.
Fraud
Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson in Legal Nurse Consulting Principles and Practices, 2019
The implications of the P-HCC include the following sample questions:What type of patient is involved in the alleged scheme? Is it a Medicare recipient or a Medicaid recipient? Does the recipient have private insurance? If yes, is it through an employer or is it individually purchased?What type of provider is involved? Is it a professional such as an advanced practice registered nurse, physician assistant, naturopathic doctor, physician, dentist, chiropractor, or optometrist? Are facilities such as an acute hospital or nursing home involved?Are any third parties involved (e.g., the durable medical equipment [DME] company, pharmaceutical company, case manager, or billing agent)?What type of plan administrator or insurance company is involved? For example, is it a TPA or one of the common commercial healthcare insurance companies?Who is the plan sponsor? Is it a self-insured employer, a government plan, or both?With respect to organized crime, are there any “store front” operations involved?
Nursing: Addressing substance use in the 21st century
Published in Substance Abuse, 2019
Deborah S. Finnell, Matt Tierney, Ann M. Mitchell
In 2018, 17.1% of the nation's registered nurses held a master's degree, an increase of 3.3% from 2013.6 These nurses include those who are in advanced practice registered nurse (APRN) roles, specifically the nurse practitioner (NP), clinical nurse specialist (CNS), certified nurse anesthetist (CRNA), and certified nurse midwife (CNM). These APRNs are registered nurses educated at master’s or post-masters level and in a specific role and patient population. Through their education and certification, APRNs are prepared to assess, diagnose, and manage patient problems, order diagnostic tests, and prescribe medications.7 In addition to these APRNs, other nurses with advanced nursing degrees have pivotal roles in the healthcare system as administrators, clinical leaders, and educators.
A survey identifying leadership and research activities among Nurse Practitioners
Published in Contemporary Nurse, 2020
Mary Ryder, Elisabeth Jacob, Joyce Hendricks
The Nurse Practitioner (NP) role was established over 50 years ago in the United States of America (USA) to improve access to quality healthcare (Ford, 2015). The NP is one of a number of advanced nursing roles that have been growing worldwide under the umbrella term of Advanced Practice Nurse (APN), that includes NP, clinical nurse specialist (CNS), certified nurse midwife (CNM), nurse consultant (NC) and nurse anesthetist (NA) (Carney, 2016). Variations in titles have resulted in a lack of clarity pertaining to the NP role (Aleshire et al., 2012). Consequently, researchers argue that it is in the best interest of the profession to increase awareness and differentiate various roles according to the titles (Gardner et al., 2016). Establishing a National Framework for the NP role provides a sound basis for role development (Carney, 2016).
A legal framework on advanced practice nursing in Belgium: what do we and don’t we know?
Published in Acta Clinica Belgica, 2022
A. Van Hecke, P. Van Bogaert, E. Decoene, F. Dobbels, E. Goossens, G.A. Goossens, S. Verhaeghe, T. Goffin
The introduction and development of ‘Advanced Practice Nursing’ is one of the most important developments in nursing during thetwenty-first century [1]. First introduced in the USA, it is now being implemented in country-specific healthcare contexts around the world [1]. The International Council of Nursing defines an advanced practice nurse (APN) asa registered nurse with a recommendation for a master level degree who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which she/he is credentialed to practice.[2]
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