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Discussion

issues in advanced practice nursing

Hello, My name is Michelle and I am presently a NP student. I am presently taking a course involving issues of advanced practice nursing. I have an assignment to complete that involves an interview of an advanced practice nurse. If you can assist me, I would be very appreciative. You can send a private message, the answers to the questions listed below: (please include your name and what state you practice in)

There are many issues facing advanced practice nurses today. What are your thoughts regarding this?

Is there a particular issue that you feel is of great importance? Why is this issue important to you?

Do you think the issue is in the process of becoming resolved? Is there anything that you believe should be done to further resolve the issue?

Thank you very much,

Michelle

Featured Replies

  • Experts

Ullnurse - I think there are many issues affecting APN practice in the US today:

1. The reimbursement issue is the biggest IMHO. In order to be lucrative in a private practice, you have to produce revenue. The way Medicare/Medicaid reimburses for in-hospital care for the mid-level practitioner is difficult to navigate. In the outpatient realm, it is much easier to generate income for the practice.

2. (My personal mission): We as nurses have to be united. We are NURSES first and mid-level providers second. It is not beneath me to ask a patient if I can do something for them before I leave the room. Yesterday, I ordered this patient's breakfast menu - took 30 seconds of my time but the nursing staff was very appreciative and the pt didn't have to wait.

  • Experts

Ullnurse - I think there are many issues affecting APN practice in the US today:

1. The reimbursement issue is the biggest IMHO. In order to be lucrative in a private practice, you have to produce revenue. The way Medicare/Medicaid reimburses for in-hospital care for the mid-level practitioner is difficult to navigate. In the outpatient realm, it is much easier to generate income for the practice.

2. (My personal mission): We as nurses have to be united. We are NURSES first and mid-level providers second. It is not beneath me to ask a patient if I can do something for them before I leave the room. Yesterday, I ordered this patient's breakfast menu - took 30 seconds of my time but the nursing staff was very appreciative and the pt didn't have to wait.

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