NR 510 Week 1: Barriers to Practice Discussion
Chamberlain University NR 510 Week 1: Barriers to Practice Discussion– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 510 Week 1: Barriers to Practice Discussion assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 510 Week 1: Barriers to Practice Discussion
Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 Week 1: Barriers to Practice Discussion depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 510 Week 1: Barriers to Practice Discussion
The introduction for the Chamberlain University NR 510 Week 1: Barriers to Practice Discussion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
Need a high-quality paper urgently?
We can deliver within hours.
How to Write the Body for NR 510 Week 1: Barriers to Practice Discussion
After the introduction, move into the main part of the NR 510 Week 1: Barriers to Practice Discussion assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 510 Week 1: Barriers to Practice Discussion
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 510 Week 1: Barriers to Practice Discussion
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
Stuck? Let Us Help You
Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease.
Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NR 510 Week 1: Barriers to Practice Discussion assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW.
Sample Answer for NR 510 Week 1: Barriers to Practice Discussion
The barriers to APN practice that were identified in the article are state practice and licensure, physician related issues, job satisfaction, payer policies and not being allowed to follow patients who are admitted to acute care facilities (Hain &Fleck, 2014).
These barriers to me mean that APN are restricted in their practice. They do not get to practice to the best of their education. I do feel that in the beginning there does need to be some guidance from a physician. The barriers can cause dissatisfaction with the job because of the amount of control taken from the APN regarding their decisions with their patients. This should be done in the first five years or so of practice. This would give the ANP the guidance needed while caring for patients. These barriers also mean the ANP does not get the same compensation as does a physician and payers will not pay at the same rate as they would for a patient being seen by a physician.
These barriers are not new to me nor do they come as a surprise. I have spoken with a few FNPs who have mentioned the fact that they are restricted to a certain extent. When working in the emergency room a lot of times the APNs would only be allowed to work on the lower acuity patients. In the event that there was someone who ended up being a higher acuity the APN would have to go to the physician for their opinion. This I did not see as a bad thing. It is always good to have the extra resource which can provide an additional set of eyes and knowledge for a situation. These restrictions do not concern me currently. I feel my motivation is seeing how certain physicians welcome the APN and are willing to work with them. Many I have seen give the APN more room to do their thing once they gain confidence in the APN.
These barriers do represent restraint of trade. They do not allow the APN to see patients and prescribe medications without restrictions. They have rules and regulations that restrict them and only allow them to practice in certain ways.
Nurses can influence these barriers by forming organizati0ons to appeal to their states about the way they are allowed to practice. To do this they will need to research and provide data stating the care they give, and the care given by physicians. They will need evidence about practices to be able to change the minds and get regulations changed. This will not be an overnight process, so they will also need to be willing to commit to making a change over years.
Reference
Hain, D., & Fleck, L. (2014, May). Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign. OJIN: The Online Journal of Issues in Nursing, Vol. 19, No. 2, Manuscript 2, doi: 10.3912/OJIN.Vol19No02Man02
ALSO READ:
NR 510 Week 2: Theory and the APN Role Discussion
NR 510 Week 2: Theory and APN Role Discussion Part Two
NR 510 Week 5: Conflict at the Office Discussion
NR 510 Week 5: Conflict Resolution Strategies Discussion
NR 510 Week 6: APN Professional Development Plan Paper
NR 510 Week 8: Reflection on Achievement of Outcomes
Sample Answer 2 for NR 510 Week 1: Barriers to Practice Discussion
The barriers identified in the articles include state practice licensure issues, physician related issues, payer policy issues, and prescriptive issues (Hain, Fleck, 2014). These issues do not come as a surprise as physicians have dominated the medical field for a very long time. It is the same concept to the work field with male dominance and women fighting for equality. We have been living in a world that aims to maintain dominance, we are seeing it today in the financial world with the United States and their protectionist views by implementing trade tariffs. If we go all the way back in time, there has been wars and attempted genocides to ensure one’s beliefs dominate the world. So, for physician dominance to occur in the medical field is not a surprise to me. On the positive note, we do have organizations that fight for nurse practitioner equality in the medical field such as the American Association of Nurse Practitioner (Hain, 2014).
I believe these barriers are occurring naturally in a world that aims to maintain dominance. But we live in a time where change needs to occur, because the fact is we are short in primary care physicians in an aging population and a work force that will be reduced with baby boomers retiring, which will only add to the shortage in primary care physicians in a world where people are requiring more medical attention. The healthcare cost is also increasing at such a fast rate, where it will not be sustainable in the future. I believe these restraints will be resolved. The main driver of this resolution will be cost.
Reference:
Hain, D., & Fleck, L. M. (2014). Barriers to NP Practice that Impact Healthcare Redesign. Online Journal Of Issues In Nursing, 19(2), 5. doi:10.3912/OJIN.Vol19No02Man02
Sample Answer 3 for NR 510 Week 1: Barriers to Practice Discussion
Your post sparks some interesting conversations! I agree with you that Physicians have largely dominated the medical field on scientific knowledge and expertise. Even more so, it has always largely been male Physicians. We more definitely have various factors as you mentioned driving the change in who and how providers offer medical care and service to patients. However, even more so than cost as you cite, I feel it will largely be the cultural shift and change in perception needs to change. As authors DeNisco & Barker (2015) note, education of nurses have historically been cited as ‘training’ as opposed to ‘education’. Different connotations have been used to described knowledge and training of medical doctors and nurse practitioners. The healthcare industry has placed the nursing profession into a subservient role rather than a role that utilizes critical thinking as doctors have largely been grouped into. I feel a great amount of societal shifts still need to occur to shift the perception of nursing regardless of an advanced degree from holistic, humanistic and relational and combine it with the hard scientific knowledge base needed to treat the disease process in a healthy way.
As Dr. Storms noted in your response, I have also had many dealings with patients who appear to listen more attentively to male peers that have either a nursing role or respirator role despite my equal qualifications. I do not take personal offense to this, but recognize the cultural dynamics in which people are comfortable within. I take it as an opportunity to teach and education the patients on there disease and ways to treat it!
Reference:
Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Retrieved from https://bookshelf.vitalsource.com (Links to an external site.)
Links to an external site.
Sample Answer 4 for NR 510 Week 1: Barriers to Practice Discussion
The article by Hain and Fleck (2014) describe multiple barriers to APN practice. State practice and licensure is identified as a challenge as each state has its own guidelines that outline an NPs scope of practice (Hain & Fleck, 2014). This does not allow for a general standard of care expected for NPs to evaluate and diagnose patients, order diagnostic tests or initiate and manage treatment plans. Approximately 20 states grant NPs full practice authority licensure, which allows NPs to practice independently of a physician or hospital. Most states reduce the NPs practice and licensure, which means NPs can either engage in at least one element of the NP practice through a collaborative agreement or with an outside health discipline or under supervision of a physician (Hain & Fleck, 2014). The next challenge the article mentions is physician related issues. The problem here is that physicians do not feel NPs have received enough training or education to administer the same type of treatment as a doctor. Physicians are also confused about the role of nurse practitioners in a collaborative environment (Hain & Fleck, 2014). Physicians may feel there is no need for the NP to advise the patient if the physician (especially if a medical specialist is present). Other barriers mentioned are payer policies, job satisfaction, and restrictions in admitting and prescriptive privileges. Since nursing services have traditionally been tied into the institutional room fee or other professional fees on a patient’s billing statement, nursing services are not considered “billable” (Hain & Fleck, 2014). Nurses often cite having little autonomy over practice and limited career advancement opportunities as reasons for leaving the profession (Hain & Fleck, 2014).
I am not surprised about the barriers presented in the article. I believe the majority of concerns center on accountability and skill level. The article by Hain and Fleck (2014), states NPs can help reduce the primary care provider gap but that allowing NPs full practice authority may cause patients to choose between being seen by a physician or NP. I understand this point of view, but I believe patients are astute enough to know when to see a specialist for a condition versus opting for services provided by an NP. I also see a great deal of disrespect displayed by doctors toward nurses simply because physicians have more medical training than NPs. The lack of collaboration may stem from a lack of trust or mutual respect (Schadewaldt, McInnes, Hiller, & Gardner, 2013). A number of factors influence the functioning or failure of collaboration between NPs and MPs, such as funding issues, traditional role allocation, legislation, personal attitudes toward collaboration, and organizational structures (Schadewaldt et al., 2013). NPs must hold a four-year degree, have years of practice experience, obtain a graduate degree, pass multiple certification exams, and pursue further specialization. While new roles for NPs present opportunities, NPs are unsatisfied with their work roles because they lack autonomy and respect (Schadewaldt et al., 2013).
These barriers represent restraint of trade because NPs are not allowed in over 29 states to practice without restrictions imposed by state nursing licensing boards. Since NPs must go through rigorous training to become just as qualified as a physician to administer medical services, they should be allowed to practice. However, one of the reasons Hain and Fleck (2014) state NPs are not allowed this professional courtesy is physicians may feel some sort of competition toward them. Physicians do not want to lose revenue.Nurses can influence these barriers by joining powerful nursing organizations that promote and advocate the rights of NPs. Nursing practitioners can also become more involved in the legislative process. NPs can also become influential members of state nursing licensing boards and lead the vote to change current standards.
References:
Hain, D., & Fleck, L. (2014, May). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19, 2. Manuscript 2. Retrieved from doi: 10.3912/OJIN.Vol19No02Man02
Schadewaldt, V., McInnes, E., Hiller, J. E., & Gardner, A. (2013). Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review. BMC Family Practice, 14, 132. Retrieved from http://doi.org/10.1186/1471-2296-14-132
Sample Answer 5 for NR 510 Week 1: Barriers to Practice Discussion
As a future FNP, I support the need to remove barriers for nurse practitioners. As various medical governing bodies analyze why these barriers were created and determine whether solutions to provider care issues have been solved so the barriers can be removed, these governing bodies must keep in mind the training for NPs has changed and progressed. Maybe as recently as 25 years ago, NPs may have lacked the training and skills to be granted full practice authority, thus the reason for the majority of the barriers put in place for NP ordering. Over the years, these issues have been resolved as NP education programs have advanced and NPs are now trained to provide care that is well within their scope of practice (Iglehart, 2013). I believe these regulations still exist because of outdated insurance reimbursement policies, institutional practices and norms, and the culture of competition that exists between physicians and NPs. Restricting NPs from working to the full extent of their training and education only hurts the medical profession and causes NPs to wonder why they have paid for an education they cannot use. I have yet to read sound reasons why these barriers are in place other than state and national physician organizations oppose them. Physician based organizations are “reaching” for reasons to restrict NP full scope of practice. For example, the American College of Physicians response is that a healthcare team is best equipped to provide patients with the best patient centered care available; thus, NPs should not be allowed to practice independently. This is a weak response that takes what NPs are advocating out of context. In fact, obtaining a graduate degree and licensure requires that NPs confer with other medical providers ‘when needed’. NPs are advocating that they can diagnose and treat a patient without being watched over by a physician. If the NP feels the need to place a call to the primary care physician, this does not logically hold that the NP does not know what to do. This means the NP is taking the necessary precautions to provide safe care to the patient. When professional organizations, health insurers, and 20 states support NP full practice authority, it validates that NPs are trusted medical professionals who have received sufficient education and training. The political conflict between nursing and physician organizations is causing the patient to suffer (Iglehart, 2013). A truly collaborative health provider environment calls for all health professionals to be able to practice to the full extent of their education and training (Iglehart, 2013). In the end, the goal of the medical provider, NP or physician, should be to enhance the efficiency and quality of services for patients.
Reference
Iglehart, J. K. (2013). Expanding the role of advanced nurse practitioners — risks and rewards. New England Journal of Medicine, 368(1935-1941). Retrieved from DOI: 10.1056/NEJMhpr1301084