2023 Case Study Chapter 3 Developing Effective Leaders to Meet 21st Century Health Care Challenges An experienced registered professional

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Nursing 2023 nursing ethics

Case Study Chapter 3 Developing Effective Leaders to Meet 21st Century Health Care Challenges An experienced registered professional 2023 Assignment

Case Study, Chapter 3, Developing Effective Leaders to Meet 21st-Century Health Care Challenges

An experienced registered professional nurse has just been promoted as the nurse manager of a nursing unit. The nurse had been a very effective leader on the unit prior to the promotion of becoming the nurse manager. The new nurse manager is making a list of essential characteristic of effective leaders.c

1. What are factors that are driving the need for innovative and transformational leaders in health care for the 21st century?

2. What are essential characteristics of an effective leader that the new nurse manager needs to incorporate into the nursing unit culture?

3. The nurse manager is reviewing the strengths and weaknesses of three leadership models: transactional, transformational, and complexity. What are the essential characteristics of the three leadership models? Which model do you think is most effective to use in leading a nursing unit? Why?  

             

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2023 Cost or Quality Which is the Right Focus for Health Policy Reflecting on the information found in

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Nursing 2023 Health Policy, politics and perspectives

Cost or Quality Which is the Right Focus for Health Policy Reflecting on the information found in 2023 Assignment

Cost or Quality? Which is the Right Focus for Health Policy?

Reflecting on the information found in the following Youtube videos, write a two-page paper about the fact the current health policy discussions are focused so heavily on cost and relatively little on quality.

Youtube videos:

1.  Access to Quality and cost:     https://youtu.be/O1nk4mctb7Y 

2.  Introduction to U.S. Health Policy and Health Policy making:   https://youtu.be/MdCMRrnVKu4 

– APA style

– TURNITIN ASSIGNMENT (Free of Plagiarism!)

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2023 The hospice nurse sat with Ann s husband Ben Ann was resting quietly as the

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Nursing 2023 concept and theories of nursing

The hospice nurse sat with Ann s husband Ben Ann was resting quietly as the 2023 Assignment

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

  • Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
  • What are characteristics of a human becoming nurse? What are strengths and weaknesses tothis theory of nursing?
  • What challenges exist for healthcare institutions to switch to this nursing approach?
  • How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
  • From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

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2023 Review the Institute of Medicine s 2010 report The Future of Nursing Leading Change Advancing Health Write a 750 1 000 word paper

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Nursing 2023 NRS-430V Professional Dynamics

Review the Institute of Medicine s 2010 report The Future of Nursing Leading Change Advancing Health Write a 750 1 000 word paper 2023 Assignment

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

  1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
  2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
  3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
  4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
  5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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2023 GUIDELINES FOR THE FIELD EXPERIENCE REQUIREMENT You must attend 1 policy event at least approximately 1 hour in length You

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Nursing 2023 Health policy, politics and perspectives

GUIDELINES FOR THE FIELD EXPERIENCE REQUIREMENT You must attend 1 policy event at least approximately 1 hour in length You 2023 Assignment

GUIDELINES FOR THE FIELD EXPERIENCE REQUIREMENT:
You must “attend” 1 policy event, at least approximately 1 hour in length. 

You must “attend” 1 policy event, at least approximately 1 hour in length. 

The event may be online and it must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose.  Event must be health-related. 

GENERAL GUIDELINES:
1.  At the event, take notes, and then write up an account and analysis of the event, using the template for field experience logs (below), and the Field Experience Rubric.

1.  At the event, take notes, and then write up an account and analysis of the event, using the template for field experience logs (below), and the Field Experience Rubric.

FIELD LOG GUIDELINES:

As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.

·  Each event log should be three to five double-spaced pages of text.

·  Provide only a brief summary of the event itself.

·  The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.

·  Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).

·  Use APA format for citations and references.

TEMPLATE FOR FIELD EXPERIENCE LOGS :
·  The name of the event/meeting and who has sponsored it.

·  The name of the event/meeting and who has sponsored it.

·  Describe the steps taken in preparation for the event (beyond listening or attending the event).

·  Place, date, time, and length of hearing/meeting/event.

·  Topic under discussion.

·  Names of participants and their titles (to the extent you can get them).

·  Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)

·  Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.

TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)

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2023 respond The case of Jim is a great example of how value based reimbursement structures are driving improvements in

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Nursing 2023 NR533 week 2.2

respond The case of Jim is a great example of how value based reimbursement structures are driving improvements in 2023 Assignment

respond 

 

The case of Jim is a great example of how value based reimbursement structures are driving improvements in healthcare.

With fee for service, or volume based reimbursement, the hospital will receive reimbursement for providing care on two separate admissions, despite the fact that the second admission could possibly have been avoided.  Additionally, with fee for service, there is  no incentive to return the patient to the community or recover health in a timely manner.  Physicians and hospitals receive more benefit from greater length of stay and additional tests and consults.  With volume based reimbursement, there is no incentive to reduce costs or improve quality which negatively impacts patient satisfaction.   While this form of reimbursement provides maximum profits for providers, it results in epidemic unaffordable and inaccessible healthcare for populations. 

With value based reimbursement, the hospital will receive a flat fee for Jim’s diagnosis regardless of how care is provided.  The hospital will also be penalized for readmission additionally reducing reimbursement.  In the case of value based reimbursement, the hospital is incentivized to diagnose, treat, and recover the patient as quickly and efficiently as possible.  This reduces the chances of imposed unnecessary costs to the patient and improves the likelihood of quality care and thereby patient satisfaction, which is known as the Triple Aim (Martin, 2017).

With nearly 50% of the payer mix at my institution coming from government funded healthcare, value based reimbursement has a significant impact on how we deliver care with a large focus on quality and cost reduction improvement strategies.  One of the ways our hospital has tried to reduce cost is through merger.  Advocate merged with Aurora Healthcare last year and the large volume of providers has allowed us to negotiate lower contracts with vendors and suppliers.  Additionally, they are reducing costs by partnering with physician groups to provide services to patients and employees at reduced costs under a large HMO.

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2023 Bargaining and Unions 1 What impact do collective bargaining and unions in healthcare have on you as a healthcare

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Nursing 2023 Bargaining and Unions

Bargaining and Unions 1 What impact do collective bargaining and unions in healthcare have on you as a healthcare 2023 Assignment

Bargaining and Unions

1. What impact do collective bargaining and unions in healthcare have on you as a healthcare professional? What is the impact for the patient? 

 Management Theory 

2.  Compare and contrast the different theories of management in healthcare. Is there one theory that is better suited than another? Why? 

Note: Follow instructions please

 

  If you are citing a source you must reference the source in APA format. 

  If you are using quoted material, you must reference the source with a page or paragraph number (See in-text citation per APA Citation Style).

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Developmental Assessment and the School Aged Child The needs of the pediatric patient differ depending on age as do the

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Nursing 2023 Developmental Assessment and the school aged

Developmental Assessment and the School Aged Child The needs of the pediatric patient differ depending on age as do the 2023 Assignment

Developmental Assessment and the School-Aged Child 

            

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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2023 Please submit your field experience log for Week 2 in one Word document to this assignment Access the Guidelines

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Nursing 2023 Field Experience Log

Please submit your field experience log for Week 2 in one Word document to this assignment Access the Guidelines 2023 Assignment

 

Please submit your field experience log for Week 2 in one Word document to this assignment. Access the Guidelines for the Field Experience Requirement page for full instructions. As seen below :

 

Guidelines for the Field Experience Requirement

You must “attend” at least 4 policy events, at least approximately 1 hour in length. Attendance of at least one of these events must be in-person.

Up to 3 of the 4 events may be online and they must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose. In addition, you may identify your own online policy events, but please check with your instructor to make sure the events you choose are eligible for field hours.

In-person events must be health-related. For example, an example of in-person event would be attendance at a local board of health meeting, a local school-board meeting, a legislative hearing or meeting, a meeting by an executive branch agency that falls under your governor, a meeting by advocacy organization or special interest group, or a meetings of a political party, political group, or candidate.

General Guidelines

  1. At each event, take notes, and then write up an account and analysis of each event, using the template for field experience logs (below), and the Field Experience Rubric posted on Moodle.
  2. You are required to complete and post a field event report assignment every other week, in Weeks 02, 04, 06, and 08.

Field Log Guidelines

As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.

  • Each event log should be three to five double-spaced pages of text.
  • Provide only a brief summary of the event itself.
  • The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.
  • Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).
  • Use APA format for citations and references.
  • Examples of logs are posted on Moodle.

Template for Field Experience Logs

  • The name of the event/meeting and who has sponsored it.
  • Describe the steps taken in preparation for the event (beyond listening or attending the event).
  • Place, date, time, and length of hearing/meeting/event.
  • Topic under discussion.
  • Names of participants and their titles (to the extent you can get them).
  • Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)
  • Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.
  • Example of field logs :

  

HP609 Field Experience Log Example One 

Field Experience Log #1

Title of Event / Sponsors: Rutland County Maternal-Child Health Coalition Tobacco Cessation in Pregnancy Meeting / Vermont Department of Health and the Rutland County Maternal-Child Health Coalition

Preparation Steps Taken: Prior meeting minutes provided by Bethany Yon, Nutritionist at the Vermont Department of Health were reviewed. Pregnancy Risk Assessment Monitoring System (PRAMS) Data from the CDC at https://www.cdc.gov/prams/tobaccoandprams.htm was also reviewed.

Place / Date / Time / Length: Rutland Area Visiting Nurses and Hospice (RAVNAH) in Rutland, Vermont / May 19, 2017 / 9:30 / 2 hours

Topic Under Discussion: Pilot project for smoking cessation program for pregnant women. Names of Participants and Their Titles: Joanne Calvi (District Director / Nursing Supervisor Vermont Department of Health), Jill Hamilton (Registered Dietician / WIC Supervisor, Vermont Department of Health), Bethany Yon (Nutritionist, Vermont Department of Health), Kathleen Romano ( RN supervisor at Rutland Women’s Health Care), Sarah Cosgrove (Respiratory Therapist, Asthma Educator, Community Health Team at Rutland Regional Medical Center), Marjanna Barber-Dubois (QI Facilitator, Community Health Improvement at Rutland Regional Medical Center), Rhonda Williams (Chronic Disease Prevention Chief, Vermont Department of Health), Allison Kurti (University of Vermont Behavioral Health), Marissa Wells (University of Vermont Behavioral Health)

Brief Description of the Testimony / Meeting / Event: Rutland Regional Medical Center’s Women’s Health Clinic is partnering with the Vermont Department of Health to focus on decreasing the rate of smoking in pregnancy. Collaboratively, they are working with area partners to complete a pilot project for an incentive based smoking cessation program, modeled off an University of Vermont based incentive program. This meeting was a review of progress to date, the plans for initial roll out of the pilot project, and the plan for provider education.

Description and Analysis of the Health Policy Issue and Its Implications for Health Care:

Many behaviors and lifestyle choices that individuals choose to take part in significantly impact their health. One such health determinant, the behavior choice to smoke, is the leading cause of preventable disease and death in the United States (Shi & Singh, 2015). Smoking is one of the 3 health behaviors that contributes to four chronic diseases, leading to 50% of deaths in Vermont (Vermont Department of Health, 2017). For women who smoke during pregnancy, there are many additional health concerns related to the impact of smoking on the pregnancy and fetus as well. Some examples of these health concerns are an increased risk for miscarriage, certain birth defects, premature births, low birth weights, and SIDS (Centers for Disease Control and Prevention, 2016).

With the continued high rate of smoking in pregnancy in Vermont, the Maternal Child Health Division of the Vermont Department of Health is focused on addressing this public health concern. Rutland Regional Medical Center was selected as a site for the smoking cessation pilot project for two reasons. First, the Rutland Women’s Health clinic has been working to create smoking cessation programs for pregnant women. Second, the smoking rate during pregnancy is the highest in the state at 29.3%, and has the third lowest smoking cessation rate during pregnancy of 11.2% (Personal Communication, Sarah Cosgrove, May 19, 2017). The grant funded pilot project is looking to provide a financial incentive to women that take part in the smoking cessation program, which includes individual and group counseling, along with urinalysis to confirm compliance with smoking cessation.

Smoking during pregnancy has many implications on health and health care. As noted above, smoking leads to many preventable health conditions. This leads to significant health care costs to treat these medical issues. Between 2000 and 2012, it has been estimated that $133 billion has been spent in health care costs associated to treating tobacco-related illnesses (American Cancer Society, 2016). Melvin, Adams, Ayadi, and Rivera (2004) reported that in 1996, $366 million was spent on neonatal healthcare costs associated to maternal smoking during pregnancy.

The public health program being implemented in this community looks to provide a multidisciplinary team of providers with the education and training they need to educate, support and empower women to make the needed behavior modifications to successfully quit smoking. In addition, they will be utilizing an incentive based program targeted to this specific, high-risk patient population. Shi & Singh (2015) identified such methods as being avenues to motivate behavioral changes in health promotion and disease prevention.

From the public health perspective, it is not the treating of the disease caused by smoking that needs the attention. It is addressing the cause of these conditions, the behavior of smoking, that needs to be the focus to achieve improvements (Harvard University School of Public Health, 2014). Shifting the focus from one of disease treatment to health promotion through primary prevention interventions is key to improving population and public health. Such primary prevention strategies include therapeutic community efforts, such as the program described above, to assists people with smoking cessation to prevent the health conditions that can result from smoking. Hopefully in the future, there will be an increase focus and implementation of such primary prevention programs to improve the health of populations and decrease the costs of healthcare across the United States.

  

References

American Cancer Society. (2016). Tobacco: The true cost of smoking. Retrieved from https://www.cancer.org/research/infographics-gallery/tobacco-related-healthcare-costs.html

Centers for Disease Control and Prevention. (2016). Tobacco use and pregnancy. Retrieved from https://www.cdc.gov/reproductivehealth/maternalinfanthealth/tobaccousepregnancy/inde x.htm

Harvard University School of Public Health. (2014). United States health policy. Retrieved from https://courses.edx.org/dashboard

Melvin, C. L., Adams, E. K., Ayadi, M. F., & Rivera, C. C. (2004). State estimates of neonatal-healthcare costs associated with maternal smoking: United States 1996. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5339a2.htm

Shi, L., & Singh, D. A. (2015). Delivering health care in America: A systems approach (6th ed.).

Burlington, MA: Jones & Bartlett Learning

Vermont Department of Health. (2017). 3-4-50: Prevent Chronic Disease. Retrieved from http://www.healthvermont.gov/3-4-50

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2023 A minimum of 2 paragraphs Discussion Advanced registered nurse practitioners ARNPs have

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Nursing 2023 Discussion replay each, similarities less 5%, APA 6th, 2 references,

A minimum of 2 paragraphs Discussion Advanced registered nurse practitioners ARNPs have 2023 Assignment

A minimum of 2 paragraphs 

Discussion

Advanced registered nurse practitioners (ARNPs) have to consider a broad range of factors when prescribing medicines. For instance, professionals in this area have to consider federal and state laws that regulate their practices. The focus on controlled substances is particularly important because registered nurses have a responsibility to prevent fraud and diversion (Klein, 2016). ARNPs have the authority to prescribe Schedule II, Schedule III, and Schedule IV drugs if they pass certification (Florida Board of Nursing, 2016). It is imperative to prevent tampering to prevent abuse and negative health effects when prescribing such substances. Similarly, nurses have to identify behavioral red flags and demonstrate outstanding communication skills when dealing with scammers (Klein, 2016).

Advanced practice nurses have to deal with a set of barriers that limit their ability to prescribe medicines. First of all, ARNPs have to consider such factors as state licensure and regulations. The situation has improved over the years, and such organizations as the American Association of Nurse Practitioners (AANP) seek to improve the prescriptive authority of nurse practitioners. Nevertheless, nurse practitioners have to deal with such issues as supervision and delegation. It is also noted that physician professional organizations believe that it is necessary to limit the scope of nursing practice because of such factors as the overall quality and safety of care (Hain & Fleck, 2014). Available research indicates that most of the concerns voiced by the opponents of unrestricted prescriptive authority are unreasonable. It is also suggested that payer policies affect the ability of registered nurses to prescribe medicines because of low reimbursement rates (Hain & Fleck, 2014). The situation is challenging because both public and private payers often prevent nurse practitioners from practicing independently. It may be beneficial to cooperate with policymakers to address the problem and eliminate the barriers that have an adverse effect on advanced practice nurse prescribers.

References

Florida Board of Nursing. (2016). Important legislative update regarding HB 423. Retrieved from https://floridasnursing.gov/new-legislation-impacting-your-profession/

Hain, D., & Fleck, L. M. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). DOI: 10.3912/OJIN.Vol19No02Man02

Klein, T. (2016). Legal and professional issues in prescribing. In T. M. Woo, & M. Robinson (Eds.), Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.) (37-50). Philadelphia, PA: F. A. Davis Company.

Advanced Practice Nurses (APRNs) as health professionals, are tasked with the responsibility to care for and safeguard the health and safety of patients. One duty of care owed by APRNs is on ethical and legal prescribing of medication. APRNs are expected to adhere to strict standards of prescribing, which serve the needs of the patient, minimize medical errors as well as maintain high levels of professionalism and accountability (Mitchell & Oliphant, 2016). In 2007, the World health Organization (WHO), outlined 7 guidelines which were meant to serve as a universal regulatory framework for ethical prescribing for all health practitioners, including APRNs. They are as follows: (1)Evaluate and define the patient’s problem; (2) Determine the therapeutic objective of the drug therapy; (3) Select an appropriate medication; (4) Provide patients with information, warnings and instructions; (5) Monitor the patient regularly; (6) Consider drug costs when prescribing and (7) Use appropriate tools, such as prescribing software and electronic drug references, to reduce prescription errors.

While the role of APRNs has been extended to include drug prescription, the independence to do so is not absolute. The primary barrier to APRN prescribing involves state practice and licensure (Hain & Fleck, 2014). Only 22 states so far have given full independence to APRNS to prescribe to patients. In the majority of states, including Florida, APRNs can only prescribe with the supervision or collaboration of a qualified physician. Another major barrier lies in the lack of physician cooperation and goodwill. The American Medical Association for instance, is yet to accept and support APRNs as capable of handling independent practice (Hain & Fleck, 2014). Thirdly, APRNs grapple with a physician-biased insurance system that discriminates against nurse practice. Several payer policies and reimbursement models in various states fail to recognize nurse practitioners as primary care providers, thereby affecting the extent of APRN practice including prescription (Altman et al.,2016).

References

Altman, S. H., Butler, A. S., Shern, L., & National Academies of Sciences, Engineering, and Medicine. (2016). Removing Barriers to Practice and Care. In Assessing Progress on the Institute of Medicine Report the Future of Nursing. National Academies Press (US).

Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).

Mitchell, A., & Oliphant, C. M. (2016). Responsibility for Ethical Prescribing. The Journal for Nurse Practitioners, 12(3), A20.

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