Week 5 Discussion Systems Theory and Practice Issues

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Nursing

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Nov 24, 2024

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Gray 1 Week 5 Discussion Systems Theory and Practice Issues Florida has a limited scope of practice and needs the supervision of a doctor; I learned this when I looked into the APN role in my state. The supervising physician and the ANP create a formal agreement outlining an APN's duties ( Poghosyan, 2018) . It will also detail the kind and volume of monitoring the supervising doctor is expected to provide. This comprises the parties concerned, the nature of the practice, the APN's prescribed obligations, the physician overseeing, any assessment terms, and the parties’ signatures. The State of Florida does not set down the quantity or kind of supervision necessary. Therefore, its application and enforcement may vary ( Ritter et al., 2020) . Since the state does not require it, physician monitoring does entail reviewing the documents, but this is quite lax. Since there are no set norms within the state, physician supervision looks vague and open to subjective interpretation rather than objective. This gray area of medical supervision impacts the micro level, but meso and macro levels may also be affected. The micro level is impacted because it determines how you, the APN, will work and care for your patients at the bedside. It will establish your area of expertise and degree of independence. Depending on the supervising doctor, it can restrict your capacity to influence patient outcomes. It could encourage APNs to work in states with limited jurisdiction at the meso level. Currently, this affects communities across half the nation. This will continue to leave a large-scale shortage of primary care doctors who are well-trained and educated. I would approach this in two different ways. I would first check whether the doctor who oversees my job is cooperative and that I can trust him or her. Our patients will only gain something if we take a collaborative, trusting approach with fair expectations. This would be written explicitly in our agreement on the area of practice, level of oversight, and specific job description. The uncertainty should be eliminated via clear expectations communication. The

Gray 2 small-scale solution is this. The second would be to actively engage at a state level, which is considerably higher, to promote unfettered practice. The meso level is this. I'm seeking regional or state-level forums or local chapter gatherings where I may participate. On a macro level, my study from the previous week led me to join the American Association of Nurse Practitioners. I intend to attend their conference in June to learn how to participate. In my opinion, the micro-level effect will be establishing a standard for practice. Having the flexibility to practice to my full extent, as permitted by the state of Florida, would benefit me and my patients. This freedom comes from my education and training ( Smith, 2022) . My objective is that all restricted states will become unrestricted at the meso and macro levels. This would open up more primary care professionals, such as advanced practice nurses, to fulfill the demands of our complicated healthcare system. I think this whole thing could be resolved if we had complete involvement and interdisciplinary dialogue. The objective is to establish rapport and communicate with each team member, including the patients, to come up with a solution that is advantageous to everyone. It's time to consider unconventional ideas. We leaders must promote cooperation and the growth of interprofessional problem-solving as future APNs. Leadership must embrace the concept of mindfulness and forge varied partnerships to tackle complex healthcare issues. An innovative solution is built on this engagement and relationship-building. I would like to believe that the medical community supports APNs practicing to the full extent of their education and training and that, working together, we can meet the needs of our community, state, and population more effectively ( Smith, 2022) . We are always better and stronger as a group.

Gray 3 References Poghosyan. (2018). Federal, State, and Organizational Barriers Affecting Nurse Practitioner Workforce and Practice. (Health Policy and Politics). Nursing Economic , 36 (1), 43–45. Ritter, Bowles, K. H., O’Sullivan, A. L., Gilman, D. J., & Fairman, J. A. (2020). Nurse Practitioner State-Required Collaborative Practice Agreements: A Cross-Sectional Case Study in Florida. Nursing Economic , 38 (4), 185–193. Smith, L. B. (2022). The effect of nurse practitioner scope of practice laws on primary care delivery. Health Economics , 1– 21. https://doi.org/10.1002/hec.4438 Links to an external site.

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