The object of this essay is to discuss the role of the Assistant Practitioner. How it has emerged; how it fits into the structure and skill mix of the NHS workforce and the effect it has had on that structure. It will also outline the principles of accountability and statutory regulations that govern the day to day practice of the role. In October 1998 the new European Working Time Directive was implemented. Its purpose was to prevent employers from expecting their employees to work excessively long hours. This meant that doctors were only allowed to work an average of 48 hours a week. As a result Registered Nurses had to take on tasks that were previously only performed by doctors taking them away from the patient’s bedside. In March …show more content…
Initially there was confusion over the position. There was no clear, specific role description. This led many Clinical areas to feel that they didn’t have a suitable position to offer. The general feeling was that the position had not been thought through properly before being launched. Once qualified many AP’s felt let down and didn’t understand what they could and couldn’t do. They felt frustrated, unsupported and very much stuck between roles. As they were often expected to work as an HCA for one shift then step up to the role of AP the next. There was conflict with RN’s over roles that had historically been their responsibility and that they felt were inappropriate the AP. Such as catheterisation; IV cannulation; wound care and handover at shift changes. In Spilsbury et al. (2010) findings, this led to some RN’s to voice concerns that the situation was taking a step backwards to the old two tier level of nursing with State Enrolled Nurses. They were also fearful that AP’s would be replace some RN’s, which in turn would put more pressure on the remaining RN’s by having to cover extra duties that the AP could not perform e.g. Drug rounds. The opinion of many RN’s was that the AP’s were a form of cheap labour and a way of reducing staffing costs. In the years following its introduction the role has developed widely. Currently there are 467 different positions incorporating a wide variety of tiles such as: Associate Practitioner; Assistant
The role of Advanced Practice Nursing (APN) has changed dramatically in recent years. Currently, the Unite States (U.S.) health care is focusing on delivering a cost -effective health care to all patients. In the last decades, there were many efforts to control health care over spending in the U.S. One of such efforts is to focus on applying proven principles of evidence-based practice and cost-effectiveness to find the least expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). The vast changes in health care system, such as cost, need for high productivity, limitation on reimbursement, and the inadequacy on access have made APNs to think in a way where they most fit to provide independent care for
Operation Department Practitioner is very challenging and a dedicating career, but I am ready for this challenge because the reward for the work I do is the gratitude in the eyes in the people I have looked after. I understand how difficult is to build trust between people, but I believe that over the years during which I worked as a Health Care Assistance I have the satisfactory level
As one might predict from the articles reviewed not one eluded that the bedside nurse disagreed with an improved RN to patient ratio. At this point you may be reading this saying; so hospitals need more nurses, why don’t they hire them. The answer is hospitals do, but because of the growing number of patients in the hospitals, nurse burnout, and nurses moving from one department to another or quitting all together, there is a nursing shortage. The problem becomes how hospitals can retain nurses when there are so many opportunities elsewhere. The upper nursing management, often known as the VP of nursing, collaborate with the accountants and CEO’s of the hospitals and have pressure to save money
The recommendations of the FON report by the IOM (2011) can have an important impact on the nursing workforce. The first recommendation discusses withdrawing restriction on the scope of practice of APRNs. Currently nurse practitioners (NPs), clinical nurse specialists (CNSs), certified nurse midwives (CNM), and certified nurse anesthetists (CRNAs) licensing and regulations related to their scope of practice vary from state to state. According to several reports (Hain & Fleck, 2014; IOM, 2010) only one-third of states grant NPs the ability to practice and prescribe medications without working under a physician. Allowing APRNs to practice to have full practice authority will increase the number of nurses who further their education to become
“Dedicated to enhancing professional and personal growth for allied health professionals, American Medical Technologists (AMT) awards the Registered Medical Assistant (RMA) credential to qualifying individuals.
The PICO (problem, intervention, comparison, outcome) question developed for this problem is as follows: “For ACNPs, what is the effect of residencies and fellowships on role satisfaction compared to current on-the-job training? The hypothesis offered is that ACNPs are ill-prepared for their new roles as advanced practice nurses upon graduation, leading to dissatisfaction in job roles due to lack of post-graduate training.
Three issues or trends I see that are important with regard to credentialing are reimbursement, malpractice and education. Within each issue are opportunities for the advance practice nurse (APN) to grow in knowledge and participate in change. It is important to understand why each one effects credentialing for the APN.
Learning to discern and better delineate each of the APN roles and their scope of practice was paramount in this course. Likewise, differentiating between the direct care provider roles and those that play an indirect role in the provision of care was essential. However, the seven core competencies for APRN education were instrumental in role definition and development and are the basic foundation for advanced practice.
Typically they work in one dedicated area or on a particular nursing floor, and they work either in a healthcare institution or outside of an organization (Joel, 2013). Difficulties arise when it comes to repayment by insurance companies and patients for clinical nurse specialist’s expertise. According to Joel, more effort needs to be applied in regards to these glitches to ensure proper disbursement of monies for cares assumed by the clinical nurse specialist (2013).
Through teacher-led research, the findings which are generated through the gathered evidence for these enquiries can be employed by policy-makers and other governmental bodies in order to inform the production of new educational policies that are “evidence-supported” and not “evidence-based”, as all evidence must always be analysed carefully in order to avoid occurring in biased results (Pollard, 2014, online), and have a relevance within a classroom setting.
The contrast between an adequately staffed ward and one with a low nursing staffing level is tangible. Staff nurses and patients have expressed how inadequate staffing levels affect them and there is a substantial amount of evidence-based research showing the negative effects of low nursing staffing levels on patient and nursing outcomes. Nursing resource allocation and reallocation of staff nurses is a time consuming and challenging task for nurse leaders, who must ensure safe staffing levels are upheld (Ball et al. 2014). With an increasing constraint on health expenditure, nursing staffing levels in hospitals has become a main target for financial limits and spending reductions. To the extent of which the nursing profession has been called a ‘soft target’, for it is easier to reduce nursing staffing level, as opposed to other means of cutting costs, such as improving efficiency (Aiken et al. 2014b).
Almost every day an Advanced Practice Nurse (APN) will feel the impact of policy and change in the healthcare field, from the institutional, local, community, state and national levels nurses have a responsibility to contribute to the discussion focused on healthcare improvement on all levels. Let’s first look at these issues on an institutional level, Often we are faced with changes in policy in our current roles , it could be a new policy or a revision to an old policy , it can be written or a unwritten “ understood policy” that everyone follows . We had one of these policies in our clinic, Uninsured or self-pay patients were routed to main campus clinics over 35 miles away because of their uninsured or self-pay status. This
Both these professions expect the same high standards when it comes to education and training. Nursing and Social Work both have requirements for continued professional development and lifelong learning. It is essential that Nurses and Social workers keep a record of their training throughout their careers.
The mission is successful negotiation of fair wages, safe working conditions and exemplary patient care. Can the nation’s labor unions help nursing healthcare professionals meet these mission goals? Battles are currently being fought to preserve and reform the Nation’s healthcare system. Along with proposed changes to the affordability and accessibility of medical care, healthcare providers will be faced with challenges of patient-to-provider ratios, rising costs, falling salaries/benefits and change in patient care roles. Will quality care be provided and will the
Assignment: Critically analyse an incident experienced whilst in practice, allowing opportunity to explore professional responsibilities, concepts of care management and the impact of health policy/legislation on care provision. You should demonstrate fitness of practice (NMC, 2008).