Discussion Board 5.1: The Future of Nursing
and the APRN Role
1 1 unread reply. 65 65 replies.
Points: 20
Due: Day 3 and Day 6
Directions:
After reading The Future of Nursing (PDF) report (Links to an
external site.)Links to an external site. The Future of Nursing
(PDF) report, describe one way you believe the report can directly
impact the APRN role.
Post your original response by the end of Day 3. Then, by the end of Day 6, comment on at least
two of your classmates' posts.
Search entries or author Filter replies by unread
Reply Reply to Main Discussion
Collapse Subdiscussion Taylor Young
Taylor Young
Nov 20, 2017 Nov 20 at 12:39am
The future of nursing will have a positive impact to the APRN. With the IOM report it can be
hard to pick just one benefit that will impact the APRN. One of the biggest impacts with the IOM
report on the future of nursing would be to allow all APRN’s in the U.S. to practice to the fullest
extent of their training (Robert Wood Johnson Foundation, 2010). If the APRN is trained and
educated properly, he/she should be able to practice to their fullest ability regardless of their
geographic location. By allowing all nurse practitioners a full scope of practice, access to
healthcare in the U.S. would improve immensely. Currently, there is a significant need in primary
,care providers, which nurse practitioners could provide for the patients, especially the
management of patients who have chronic illnesses.
As of 2017 there are 23 states that allow nurse practitioners full practice authority which
significantly helps improve access to healthcare in those states. (AANP, 2017). Medicare and
Medicaid are restrictive in the services that they allow for APRN’s. If Medicaid and Medicare
would cover services that nurse practitioners are capable of, it could open up an entire window of
patient’s that NP’s could care for vs. only physicians currently (Robert Wood Johnson
Foundation, 2010). Medicaid also need to improve their reimbursements that are currently given
to physicians and extend them to nurse practitioners as well (Robert Wood Johnson Foundation,
2010). APRN’s are not appreciated as they should be in most states and by the federal
government. Programs like Medicaid and Medicare could save large amounts of money by
utilizing APRN’s when able in every state, and it could also nearly completely fix the gap in
healthcare by improving access to people in urban and rural areas.
References
AANP. (2017). State practice environment. Retrieved from https://www.aanp.org/legislation-
regulation/state-legislation/state-practice-environment.
Robert Wood Johnson Foundation. (2010). The future of nursing: Leading change, advancing
health. Institute of Medicine. Retrieved from
https://lmscontent.embanet.com/MVU/NURS603/readings/Week5_TheFutureofNursingReportS
ummary.pdf.
Reply Reply to Comment
Collapse Subdiscussion Theresa Stenmark
Theresa Stenmark
Nov 21, 2017 Nov 21 at 1:49pm
Taylor, your post states that the IOM will have a positive impact on the APRN and I certainly
agree with your statement. The APRN is highly educated, skilled and patient-oriented. When the
practitioner-physician partners up in the acute and community care settings, the APRN may be
invaluable to the communities in which they serve. They can improve access of care, improve
communication with education and provide the nation with quality, efficient health care. The
autonomous APRN may independently practice (in many states -23 thus far), with this
independent practice provides freedom to practice and to seek a specialty care, allow for
flexibility in workload and structure (allow time to spend quality time with patients), be
responsible for your own practice, new opportunities such as expanding services and promoting
,the growth of the practice, being responsible for the needs of the clinic, and a an APRN learning
to deal with change, resolve conflicts, and successfully improve self-esteem and self-confidence.
So, I believe that with the IOM, this independent practice can only improve and enhance the
APRNs ability to improve clinical practice, thus giving the patient a more thorough, evidenced
based safe practice that focuses on improving care, improving communication, improvement on
clinical competence, and improved lives for the patient. Currently patients already report a
higher level of satisfaction with the Nurse Practitioner and there was no overall significant
difference in prescribing practices or patient costs between the two providers (Joel, 2013). The
IOM developed eight clinical standards that will help improve upon the APRNs ability in
building rigorous, trustworthy and optimized care for the diverse population in which they
already serve. These clinical guidelines will improve upon the APRNs ability in making
complex decisions while using their knowledge, experiences, patient preferences while making
informed decisions. The APRN may improve upon health care quality and health outcomes. I
only see the APRN improving health care in our communities in which we live, play and work,
thus improving upon each patient’s life and well-being ("Home | The National Academies of
Sciences, Engineering, and Medicine | National-Academies.org | Where the Nation Turns for
Independent, Expert Advice", 2017).
References
Home | The National Academies of Sciences, Engineering, and Medicine | National-
Academies.org | Where the Nation Turns for Independent, Expert Advice. (2017).
Nationalacademies.org. Retrieved 21 November 2017, from http://nationalacademies.org
Joel, L. (2013). Advanced practice nursing: Essentials for role development (3rd ed.).
Philadelphia: F.A. Davis Company.
Reply Reply to Comment
Collapse Subdiscussion Katy Valazak
Katy Valazak
Nov 22, 2017 Nov 22 at 1:44pm
Taylor,
Currently, there are greater than 830,000 physicians who are over age 50, which means
they are nearing retirement and also seeing fewer patients (Marbury, 2013). Since the Affordable
Care Act (ACA) passed in 2010, it is estimated there will be more than 15 million people eligible
for Medicare by 2025 and more than 30 million Americans in the healthcare system (Marbury,
2013). In order to keep up with the influx of patients, the U.S. would need an additional 51,880
PCPs by 2025 (Marbury, 2013). One proposed solution to this predicament, is to broaden the
responsibilities of nurse practitioners (NPs) and physician assistants (PAs). More states are
working to remove restrictions, allowing NPs to practice without a physician’s supervision.
, According to an article I read, removing restrictions from practicing NPs receives mixed
reviews from physicians. Some physicians have virtually no experience working with NPs.
Some have wonderful experiences, while others have not had great experiences working with
NPs. Regarding physicians who are not advocates for removing restrictions for practicing NPs, I
am curious to know what their proposed solutions to the primary care shortage might be. Many
medical students are choosing to specialize, rather than elect careers in primary care.
Personally, I believe NPs should be able to practice to their full extent. That being said,
as a new nurse practitioner graduate, I am not sure I would feel comfortable “flying solo.” I may
feel differently after a few years of practice under my belt. I believe good communication with
physicians is very important. The bottom line is that NPs can always refer a patient to a
physician if they feel that is in the best interest of the patient. I hope to develop a good rapport
and a good working relationship with physicians so I am able to feel comfortable asking
questions, feedback, advice, etc. I believe each healthcare discipline has things to bring to the
table. Team center approaches and collaboration are usually in the best interest of serving
patients. Great post!
Reference:
Marbury, D. Scope of practice debate: Many organizations are seeking solutions to the
impending primary care physician shortage, but should nurse practitioners fill the void (2013)?
Medical Economics, 90(17), 26-30.
Reply Reply to Comment
Collapse Subdiscussion Keisha Yarborough
Keisha Yarborough
Nov 24, 2017 Nov 24 at 2:54pm
Hi Taylor,
This writer also believes that the future nursing will have a positive impact on nurse
practitioners by allowing the nurse practitioner to practice at the extent in which they have been
trained (Robert Wood Johnson Foundation, 2010). There is currently a shortage with health care
providers and puts the community in jeopardy with not having immediate access to health care
when needed. Especially within the rural population of where a hospital is almost forty-five
miles away. Currently the town in which I grew up in are facing a closure of the hospital due to
inadequate funding available to keep the facility open. This rural town has a high population of
individuals with diabetes, high blood pressure and cancer. At this rate of chronic health illnesses,
the need for a hospital and health care provider becomes even more of a need for the community.
As previously mentioned, the shortage of health care providers puts the population at risk for
being treated promptly. There is already a shortage of physicians in the United States and the
nurse practitioners are helping to fill in the gap of physician shortage.
and the APRN Role
1 1 unread reply. 65 65 replies.
Points: 20
Due: Day 3 and Day 6
Directions:
After reading The Future of Nursing (PDF) report (Links to an
external site.)Links to an external site. The Future of Nursing
(PDF) report, describe one way you believe the report can directly
impact the APRN role.
Post your original response by the end of Day 3. Then, by the end of Day 6, comment on at least
two of your classmates' posts.
Search entries or author Filter replies by unread
Reply Reply to Main Discussion
Collapse Subdiscussion Taylor Young
Taylor Young
Nov 20, 2017 Nov 20 at 12:39am
The future of nursing will have a positive impact to the APRN. With the IOM report it can be
hard to pick just one benefit that will impact the APRN. One of the biggest impacts with the IOM
report on the future of nursing would be to allow all APRN’s in the U.S. to practice to the fullest
extent of their training (Robert Wood Johnson Foundation, 2010). If the APRN is trained and
educated properly, he/she should be able to practice to their fullest ability regardless of their
geographic location. By allowing all nurse practitioners a full scope of practice, access to
healthcare in the U.S. would improve immensely. Currently, there is a significant need in primary
,care providers, which nurse practitioners could provide for the patients, especially the
management of patients who have chronic illnesses.
As of 2017 there are 23 states that allow nurse practitioners full practice authority which
significantly helps improve access to healthcare in those states. (AANP, 2017). Medicare and
Medicaid are restrictive in the services that they allow for APRN’s. If Medicaid and Medicare
would cover services that nurse practitioners are capable of, it could open up an entire window of
patient’s that NP’s could care for vs. only physicians currently (Robert Wood Johnson
Foundation, 2010). Medicaid also need to improve their reimbursements that are currently given
to physicians and extend them to nurse practitioners as well (Robert Wood Johnson Foundation,
2010). APRN’s are not appreciated as they should be in most states and by the federal
government. Programs like Medicaid and Medicare could save large amounts of money by
utilizing APRN’s when able in every state, and it could also nearly completely fix the gap in
healthcare by improving access to people in urban and rural areas.
References
AANP. (2017). State practice environment. Retrieved from https://www.aanp.org/legislation-
regulation/state-legislation/state-practice-environment.
Robert Wood Johnson Foundation. (2010). The future of nursing: Leading change, advancing
health. Institute of Medicine. Retrieved from
https://lmscontent.embanet.com/MVU/NURS603/readings/Week5_TheFutureofNursingReportS
ummary.pdf.
Reply Reply to Comment
Collapse Subdiscussion Theresa Stenmark
Theresa Stenmark
Nov 21, 2017 Nov 21 at 1:49pm
Taylor, your post states that the IOM will have a positive impact on the APRN and I certainly
agree with your statement. The APRN is highly educated, skilled and patient-oriented. When the
practitioner-physician partners up in the acute and community care settings, the APRN may be
invaluable to the communities in which they serve. They can improve access of care, improve
communication with education and provide the nation with quality, efficient health care. The
autonomous APRN may independently practice (in many states -23 thus far), with this
independent practice provides freedom to practice and to seek a specialty care, allow for
flexibility in workload and structure (allow time to spend quality time with patients), be
responsible for your own practice, new opportunities such as expanding services and promoting
,the growth of the practice, being responsible for the needs of the clinic, and a an APRN learning
to deal with change, resolve conflicts, and successfully improve self-esteem and self-confidence.
So, I believe that with the IOM, this independent practice can only improve and enhance the
APRNs ability to improve clinical practice, thus giving the patient a more thorough, evidenced
based safe practice that focuses on improving care, improving communication, improvement on
clinical competence, and improved lives for the patient. Currently patients already report a
higher level of satisfaction with the Nurse Practitioner and there was no overall significant
difference in prescribing practices or patient costs between the two providers (Joel, 2013). The
IOM developed eight clinical standards that will help improve upon the APRNs ability in
building rigorous, trustworthy and optimized care for the diverse population in which they
already serve. These clinical guidelines will improve upon the APRNs ability in making
complex decisions while using their knowledge, experiences, patient preferences while making
informed decisions. The APRN may improve upon health care quality and health outcomes. I
only see the APRN improving health care in our communities in which we live, play and work,
thus improving upon each patient’s life and well-being ("Home | The National Academies of
Sciences, Engineering, and Medicine | National-Academies.org | Where the Nation Turns for
Independent, Expert Advice", 2017).
References
Home | The National Academies of Sciences, Engineering, and Medicine | National-
Academies.org | Where the Nation Turns for Independent, Expert Advice. (2017).
Nationalacademies.org. Retrieved 21 November 2017, from http://nationalacademies.org
Joel, L. (2013). Advanced practice nursing: Essentials for role development (3rd ed.).
Philadelphia: F.A. Davis Company.
Reply Reply to Comment
Collapse Subdiscussion Katy Valazak
Katy Valazak
Nov 22, 2017 Nov 22 at 1:44pm
Taylor,
Currently, there are greater than 830,000 physicians who are over age 50, which means
they are nearing retirement and also seeing fewer patients (Marbury, 2013). Since the Affordable
Care Act (ACA) passed in 2010, it is estimated there will be more than 15 million people eligible
for Medicare by 2025 and more than 30 million Americans in the healthcare system (Marbury,
2013). In order to keep up with the influx of patients, the U.S. would need an additional 51,880
PCPs by 2025 (Marbury, 2013). One proposed solution to this predicament, is to broaden the
responsibilities of nurse practitioners (NPs) and physician assistants (PAs). More states are
working to remove restrictions, allowing NPs to practice without a physician’s supervision.
, According to an article I read, removing restrictions from practicing NPs receives mixed
reviews from physicians. Some physicians have virtually no experience working with NPs.
Some have wonderful experiences, while others have not had great experiences working with
NPs. Regarding physicians who are not advocates for removing restrictions for practicing NPs, I
am curious to know what their proposed solutions to the primary care shortage might be. Many
medical students are choosing to specialize, rather than elect careers in primary care.
Personally, I believe NPs should be able to practice to their full extent. That being said,
as a new nurse practitioner graduate, I am not sure I would feel comfortable “flying solo.” I may
feel differently after a few years of practice under my belt. I believe good communication with
physicians is very important. The bottom line is that NPs can always refer a patient to a
physician if they feel that is in the best interest of the patient. I hope to develop a good rapport
and a good working relationship with physicians so I am able to feel comfortable asking
questions, feedback, advice, etc. I believe each healthcare discipline has things to bring to the
table. Team center approaches and collaboration are usually in the best interest of serving
patients. Great post!
Reference:
Marbury, D. Scope of practice debate: Many organizations are seeking solutions to the
impending primary care physician shortage, but should nurse practitioners fill the void (2013)?
Medical Economics, 90(17), 26-30.
Reply Reply to Comment
Collapse Subdiscussion Keisha Yarborough
Keisha Yarborough
Nov 24, 2017 Nov 24 at 2:54pm
Hi Taylor,
This writer also believes that the future nursing will have a positive impact on nurse
practitioners by allowing the nurse practitioner to practice at the extent in which they have been
trained (Robert Wood Johnson Foundation, 2010). There is currently a shortage with health care
providers and puts the community in jeopardy with not having immediate access to health care
when needed. Especially within the rural population of where a hospital is almost forty-five
miles away. Currently the town in which I grew up in are facing a closure of the hospital due to
inadequate funding available to keep the facility open. This rural town has a high population of
individuals with diabetes, high blood pressure and cancer. At this rate of chronic health illnesses,
the need for a hospital and health care provider becomes even more of a need for the community.
As previously mentioned, the shortage of health care providers puts the population at risk for
being treated promptly. There is already a shortage of physicians in the United States and the
nurse practitioners are helping to fill in the gap of physician shortage.
