Response to a discussion board peer reviewed_sr
AÿPractice Change that an Advanced Practice NurseÿCouldÿInitiateÿ
ÿÿÿ ÿÿÿÿAccording toÿKurtzmanÿ&ÿBarnowÿ(2017),ÿtheÿadvanced practice nurseÿ(APN)ÿroleÿwas created inÿresponse to an increased demand for primaryÿcare in health care centers (HCCs).ÿÿBecause of theÿfast-growingÿpopulation in theÿmedicalÿsetting, thereÿisÿaÿgreatÿneedÿfor health care providers to be readilyÿavailableÿforÿtreatmentÿand prevention of diseases. TheÿAPNÿcouldÿinitiate a practice change andÿmakeÿup the shortfall of the vastly growing demand. The APNsÿareÿmost often in primary care and family medicine practices,ÿbutÿalsoÿwork as specialists in hospitals.ÿ
Use a Change Model that Reflects aÿTeam Approachÿ
ÿÿÿÿÿ ÿÿÿÿThe APNÿrole is individualized care that focuses on a patient’s medical issues as well as the effects ofÿillness.ÿTheÿNational Ambulatory Medical Care Surveyÿusedÿaÿdesign-based and model-based inference and weighed allÿestimatesÿwithÿtheÿimpact of theÿcare of anÿAPNÿdeliveredÿversusÿprimaryÿcareÿphysician (PCP)ÿdeliveredÿcare (Morgan et al, 2017).ÿAn APN work along withÿPCP may serve as a patient’s mid-levelÿhealthcare provider, and they may treat patients of all ages depending on their specialty.ÿ
Explain how the Identified Change Would be Implemented in the Workplaceÿ
ÿÿÿÿÿ ÿÿThe APNsÿare qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications,ÿand make referrals for a wide range of acute and chronic medical conditions within their scope ofÿpractice.ÿMorgan et al., (2017) stated that patient-centered medical homeÿmodels are a multifaceted approach to primary care designed to better meet the needs of patients with chronicÿdisease.ÿTheÿAPNÿstresses health promotion and educationÿduringÿhospitalization.ÿAn APNÿhas the acquired the expert knowledge base, complex decision-making skills, and clinical competencies for comprehensiveÿpractice.ÿ
Describe Barriers that may be Encountered with Change Implementationÿ
ÿÿÿÿÿ ÿÿÿAccording to Morgan et al., (2017), it has beenÿrequiringÿaÿphysicianÿinvolvement for an APNÿto prescribe medications.ÿForÿexample, the APNÿcan?tÿprescribe controlled substances. Moreover, a supervising physician needs to be on site.ÿAs a standard of practice, aÿfull prescriptive authorityÿand chartÿco-signatoryÿrequirements determined at the practiceÿlevelÿofÿthe APNÿ(Morgan etÿal, 2017).ÿHowever, anÿadaptable collaborationÿofÿpracticeÿfor PCP and APNÿto achieve the best outcomes for patients.ÿ
Discuss how an Advance Practice NurseÿWouldÿOvercome those Barriersÿ
ÿÿÿÿ ÿÿFindings ofÿKurtzmanÿ&ÿBarnowÿ(2017), suggests that APNÿcare is comparableÿwith a PCP in HCCs andÿsuggest that greater use of APNsÿunlikely to have a dramatic effect on patient care.
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In conclusion, the APNÿcan examine patients, diagnose illnesses, prescribeÿuncontrolledÿmedications, and provide treatments. The APN role andÿresponsibilities similar to those of PCP and able to perform collaborative treatment and care.ÿ