Medicare pays nurse practitioners 85 percent of the rate physicians receive. Learn more about our online degree programs. Nurses, doctors, and administrators are all facing a unique set of issues in meeting the needs of their patients. Another issue is that of achieving balance. It is subject to an ever-changing regulatory environment that impacts not only the people who work within it but also the people who utilize its services. She graduated from California State University, Sacramento in 2000 with a bachelor's degree in nursing. Overall, the nurse practitioner career is very rewarding. NPs and PAs in this hospital are expected to practice with more autonomy than in the other facilities where I have worked. In A Rapidly Changing US Healthcare System, Nurse Practitioners Face New Roles, Opportunities, and Challenges, http://www.midlevelu.com/blog/big-time-challenges-even-experienced-nurse-practitioners-face Sometimes the two collide, occurring all at once in one big stressful mess of life. Provide complete physical examinations 3. A women’s health nurse practitioner (WHNP) is an educated and experienced nurse practitioner who focuses on offering primary care services to women of all ages. How to Become a Nurse Practitioner. Such restrictions may not be entirely necessary. However, the profession faces challenges from many sources, including politics and policy. A master's degree program in holistic nursing includes courses that cover nurse practitioner duties and clinical roles as well as specific holistic practices such as … The nurse practitioner provides wide-ranging and constant care to patients in a variety of medical settings. According to the Bureau of Labor Statistics, the number of jobs in this occupation is expected to grow by more than 30 percent between 2014 and 2024. Give your situation a chance before you write it off completely. My scenario is a reminder that even experienced nurse practitioners face challenges. The ACA put a spotlight on the shortage of primary care physicians, but it also spurred the growth of the nurse practitioner career. Personal stuff comes up as do difficult times professionally. Your email address will not be published. Nurse practitioners can help fill healthcare gaps in areas where there are few doctors, according to a 2018 study by the University of Michigan. The difference was that the job is a new one. As nurse practitioners who are trained to specifically address mental health problems, PMHNPs help a wide range of patients. Nonnephrology NPs often encounter patients with advanced chronic kidney disease. Unfamiliar experiences can be anxiety provoking. Nurse practitioners provide high-quality, cost-effective, and individualized care for patients, families, and communities. Feb 27, 2016 - Explore Monika Brown's board "Nurse Practitioner Problems" on Pinterest. Graduation rates for nurse practitioners have been growing, with well over 14,000 new NPs stepping onto the scene in 2014. Although this makes for a good learning experience, these standards place more pressure on me personally at work. Working as a nurse practitioner can have its monotonous moments. While some states pay nurse practitioners the same Medicaid fee-for-service (FFS) rate that they pay physicians, at least 20 states pay them 75 percent to 95 percent of the physician fee for the same service. However, this may be remedied by frank conversations with supervisors and with the mindset that it is alright to take advantage of paid time off. Specifically, nurse practitioners: 1. As a nurse practitioner, there’s always more to learn. Many places continue to put restrictions on NPs that limit their ability to provide care. As I picked apart my thoughts, I realized that my dread lie in the fact that I recently accepted a new PRN position. Nursing Research, 44 (6), 332-9. But general medicine, like pediatrics, requires … While some of these changes may affect your practice favorably, others will present challenges. In 2017, family nurse practitioners will likely confront some of the following issues as they strive to provide the best care possible for their patients: Writing for DailyNurse, Christina Morgan pointed out, “In the face of a primary care gap, much focus has been placed on nurses, especially nurse practitioners, as the solution. Therefore, they are valuable in many settings, including hospitals and private clinics. This primary care gap may lead to an increased burden on the shoulders of nurse practitioners. There are a number of challenges facing nurse practitioners. As you learn about online Family Nurse Practitioner programs and try to determine whether pursuing this career is the right choice for you, it’s important to understand the challenges and rewards associated with the role. Interpret lab results and X-rays 5. Another impetus for expanding the use of nurse practitioners is efficiency, in both cost and work flow.In the primary care setting, the value seems obvious: NPs, who cost far less to train than do physicians, are educated and credentialed to meet most preventive and chronic care needs of a primary care patient population. According to the American Psychiatric Nurses Association (APNA), PMHNPs play a pivotal role in healthcare in several ways: Screen, diagnose and provide care for mental-health and substance-abuse disorders They are overarching issues that impact both the public and the health care industry as a whole. Just a few weeks ago I returned home from work thinking about how much I loved my career and enjoyed the work I do as a nurse practitioner. Medicare, Medicaid and Nurse Practitioners. Any alterations could not only impact the workload of family nurse practitioners, but also the scope of their work. Provide teaching and counseling to support healthy lifestyle behaviors 7. HMOs may be contributing to the perception that NPs are not as capable as they truly are; according to Bernazzai’s article, roughly one-quarter of HMOs do not recognize nurse practitioners as primary care providers. Adult-Gerontology Primary Care Nurse Practitioner Careers. While support in the clinical setting is there, the norm is that NPs solve problems on their own or by consulting specialists. This has caused a rearrangement of the US health care system, and increased roles and responsibilities for advanced practice providers, namely nurse practitioners (NPs).”. She began her career working night shifts on a pediatric/ med-surg unit for six years, later transferring to a telemetry unit where she worked for four more years. A meta-analysis of 38 studies, comparing a total of 33 patient outcomes of NPs with those of physicians, demonstrated that NP outcomes were equivalent to or greater than those of physicians. The role of the nurse practitioner is growing, with more clinicians choosing that career path than ever before. The above-listed challenges are factors that nurse practitioners may have little to no control over. A meta-analysis of nurse practitioners and nurse midwives in primary care. If you're looking to become a nurse practitioner, you'll need … You Might Also Like: 6 Ways to Re-Energize Your Nurse Practitioner Career, My resolve to pass on the bowl full of Halloween candy sitting temptingly at the…, Need some cash to fund your NP education?  Here are some good places to start.…. Your email address will not be published. The primary care gap has surfaced over the past decade from events including the Affordable Care Act, new education requirements for health care providers, and increasing clinical complexity in patient populations. While nurse practitioners are vital members of the health-care team, they are not meant to replace physicians. Amanda Bucceri Androus is a Registered Nurse from Sacramento, California. Rather, identify innovative solutions to new challenges you face within your circle of impact. While NPs can treat many kinds of patients with a variety of medical problems, most nurse practitioners ultimately settle in a niche and work with the same types of patients repeatedly. C. 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