Current Roles of Advanced Practice Nurses

Discussion 7

Madai

Current Roles of Advanced Practice Nurses

Advanced  practice nurses are specialized to perform different roles.
“Nurse  Practitioners (NP) are specialized to order, perform and
interpret  diagnostic tests in primary care” (Neto, Rewa, Leonello &
Oliveira,  2018, p.720). Besides, NP prescribes medications, provide
treatment of  injuries and oversee the overall patient health. Certified
Nurse Midwife  (CN) is in charge of reproductive and gynecological
health in the  provision of primary care. Clinical Nurse Specialist
(CNS) collaborates  with other nursing staff in providing primary care,
analyzing patient  data and outcomes, and performing nursing practices
research. Lastly,  “Certified Registered Nurse Anesthetists collaborates
with other medical  specialists to administer anesthesia and oversee
the patient recovery”  (Heale, 2016, p.311).Therefore, APNs roles focus
mostly on provision of  primary care.

Effective Tactics for APNs Strategic Positioning Regarding Pay Equality

Advanced  Practitioner Nurses can use several strategies to position
themselves  regarding pay equality. First, collect the relevant data on
FNPs pay in  other countries or states. The data collected should be
analyzed based  on the date of hire, gender, job location, working hours
per week,  overtime pay, and bonuses then used as a bargaining tool for
pay  equality with the employer. Secondly, APNs can file legal suites
against  the employer to remedy equality pay. APNs should first examine
the pay  practices and policies then a file legal suit against the
employer  (Gardner, Duffield, Doubrovsky & Adams, 2016). Lastly,
agree with  the employer through labor unions to have measurable
performance metrics  to serve as points of reference when increasing
salaries. 

Reasons Nurse Practitioners Should Push for Comparable Worth, Same Service, and Same Pay

Advanced  practice nurses should push for comparable worth, same
service, and  same pay because already there is a shortage of physicians
and APNs  coordinate all primary care serves in most hospitals located
in the  rural and suburban areas. Secondly, the kind of training given
to  advanced practice nurses are sufficient to provide primary care
hence  they deserve equal treatment (Heale, 2016). Lastly, the licensing
body  for APNs, physicians and other clinical officers is different
hence they  should push for comparable worth, same service, and same pay
because  they are completely in independent professional bodies.

References

Gardner,  G., Duffield, C., Doubrovsky, A., & Adams, M. (2016).
Identifying  advanced practice: A national survey of a nursing
workforce. International Journal of Nursing Studies, 55, 60-70.

Heale, R. (2016). Advanced Practice Nursing from a Global Perspective. Canadian Perspectives on Advanced Practice Nursing, 311.

Neto,  M., Rewa, T., Leonello, V. M., & Oliveira, M. A. D. C.
(2018).  Advanced practice nursing: a possibility for Primary Health
Care?. Revista brasileira de enfermagem, 71, 716-721.

Elizabeth Gonzalez                 Week 9 Discussion Elizabeth Gonzalez  Collapse 

Nurses  as primary care and health promoters providers have a crucial
part in  the sophisticated health train, that is the reason as Nurse
 Practitioners we are able to apply strategies, along with techniques
for  equal pay. The Equal Pay Act calls for that males and females get
equal  pay for equal work in the exact same establishment. It’s not
crucial  that the jobs are the same, though they should be substantially
the  exact same. It’s the job written content rather than the job
titles that  decide if the tasks are substantially the same. Companies
can’t spend  unequal wages to women and men that perform tasks that need
identical  ability, responsibility and effort and are done under
comparable working  conditions inside the identical establishment.

As  a method it’s essential in an effort to remove discriminations
that  could exist, to compensate for all the consequences of last
 discrimination, as well to motivate the participation of all nurses to
 generate methods for them being of common use in favor of the whole
 state nursing organization..

The  Nurse Practitioner income is an extremely debatable topic also
it’s  been reviewed in ways that are many, since they are saying the
salary of  theirs isn’t consistent with the job they actually do
(Donelan et, al,  2013). I believe that as future NP we should advocate
that the job of  ours is correctly given plus it is done based on the
services we offer  on the public. The latest scientific studies show NP
is a really crucial  website link in the process of medicine as well as
for that reason we  must be remunerated appropriately to the service we
offer, that’s  saying, an equal pay (Pickard, 2014)

References

Donelan,  K., DesRoches, C. M., Dittus, R. S., and Buerhaus, P.
(2013).  Perspectives of doctors as well as nurse practitioners on
primary care  practice. Brand new England Journal of Medicine, 368(20),
1898 1906.

Pickard,  T. (2014). Calculating the worth of yours: understanding
value and  productivity. Journal of the sophisticated specialist of
oncology, 5(2),  128.

 

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The American health care system

The American health care system

American health care system contains the consists of hospitals, community health facilities, and clinics. All these facilities are normally linked to each other as they serve almost the same purpose of ensuring that the American citizens have access to quality health services. However, the system is experiencing some controversies that are derailing the delivery of services and rather raising debate in the American Congress. One of the significant medical issues being debated about American health services is the therapeutic cost. In America, the cost remains unrealistic to many people, thus making it hard for the American citizens to afford health care facilities. For instance, the cost of medication is still high as per the according to surveys conducted by the Kasler family that gathered views from American citizens. The results indicated that 72 percent of all citizens feel that the cost of medication is too high. Common wealth report, on the other hand, shows that the American government spends more funds in on health care per person than any other nation globally (Asarnow et al ,46). Comment by Owner: Do NOT right justify margins at APUS. Comment by Owner: For over 7 years now. Comment by Owner: Examples? Benchamrking? Comment by Owner: How much?

The two competing solutions for the American medical expenses are: the introduction of competitive bidding in medical tenders, including the supply of restorative equipment in order to limit government spending, and the restriction of direct referrals by the doctors (Asarnow et al ,46). This immediate referral can be utilized for patient misuse at whatever point where referrals are transformed into benefit making plans rather than medical advantage for the patient. Competitive bidding limits government spending since manufacturers compete to get tenders at the minimal value possible. Comment by Owner: And, corresponding minimal service.

After evaluation of the above medical solutions that are present in the US, the one that would be worth giving a lasting solution to the American health system considering is the introduction of competitive bidding for the manufacturers and suppliers of medications and other equipment to limit the cost of obtaining quality healthcare (Wechsler et al ,78). Competitive bidding is thus the best strategy by which the cost of medical services can be made reasonable to the American citizens.

There are various roles that are played by the federal government in the providing quality and affordable health care to the citizens such as, managing the health care sector in order to guarantee the citizens quality care by eliminating misuse of facilities. The government plays the role of evaluating and developing technologies that are effective in improving the health care facilities and service delivery (Wechsler et al ,78). They also fund It also funds health- related research projects in order to come up with a cure for illnesses that are yet to be given remedy and inform people on preventive measures that are effective in controlling the spread of diseases by organizing workshops and seminars for the medical staff and rallies for the general public. More examples of roles the federal government plays to reduce medical errors and improve patient safety are ensuring that even the most vulnerable populations have access to quality care, oversee health care quality, and organize stakeholders throughout the whole health care system (Eisenberg). Comment by Owner: For what purpose?

 

 

 

Works cited References

 

Wechsler, Lawrence R., et al. “Telemedicine quality and outcomes in stroke: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association.” Stroke 48.1 (2017): e3-e25.

 

Asarnow, Joan Rosenbaum, et al. “The Pediatric Patient-Centered Medical Home: Innovative models for improving behavioral health.” American Psychologist 72.1 (2017): 13.

 

Eisenberg, JM. “The roles of government in improving health care quality and safety.” Joint Commission journal on quality and safety. U.S. National Library of Medicine, 30 Jan. 2004. Web. 19 Mar. 2017. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/14738036.

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invest funds in 8 assets consisting of 4 US equities and 4 foreign currencies with USD as the home currency.

JP Morgan Asset Management

You are a Hedge Fund Manager for JP Morgan Asset Management. You are in charge of a $3M fund pool. Your clients have instructed you to invest the fund in US assets predominantly in equities and foreign currencies with USD as the home currency. You decide to create a hedge fund portfolio of 8 assets consisting of 4 US equities and 4 foreign currencies with USD as the home currency. Use the Bloomberg terminal to select and gather data for these assets. The following conditions apply:

Your clients indicated that you are to invest the $3M in these assets. You do not have to use all 8 assets in the pool; however, your pool should consist of a combination of equity and f/x assets (and demonstrate your analysis in these 8 assets even if you do not use all of them at the end). You should aim to use most, if not, all of the $3M in the investment pool.
You should describe the risk attitude of your clients (loving, neutral or averse). In any case, your clients intend to maximise returns for any level of a given risk.
As a hedge fund manager, you are allowed to have a long and a short positions in these assets. For example, if you employ both a long and a short positions, then it is possible for your long position to go over $3M for as long as the total long and short positions is $3M.
Your clients also require you to provide rationale for the assets chosen in the investment. For instance, if you decide to invest in TSLA stock, the rationale behind this decision (e.g. transparency, liquidity, growth, returns, etc.). You can also add Key Performance Indicators (KPIs) such as income statement, balance sheet, financial ratios, segment data, credit rating, earnings estimate, relative performance, share price performance, etc.) to your analysis.
In terms of historical trade data, you should use and/or analyse minimum of 5 years worth of data at a monthly frequency. Please include COVID-19 periods in your data selection and analysis.

Required

JP Morgan Asset Management department has asked you to write a report outlining your recommendation as to which assets your clients should invest in. When compiling this report, your clients expect to see tables outlining the respective relevant information for each of these assets as well as appendices demonstrating all relevant calculations.

When preparing the report, you have been asked to address the following points:
Calculate the average return on the asset, the standard deviation of the assets returns as well as a risk-adjusted return measure for the asset.
When conducting your fundamentals analysis, that you use the top-down approach to justify your choice of markets and assets.
That you find and highlight the key findings of relevant research or literature (including newspapers articles, investor reports, etc.) on each of the asset classes and specific markets.

Structure of the Report

The report should be structured as follows:
1. COVER PAGE, which should contain:
a) A relevant title for the report.
b) The word count for the report (excluding the title page, executive summary, table of contents, tables and figures, appendices, and references).
2. TABLE OF CONTENTS, which should contain:
a) A full list of sections (including executive summary, references, bibliographic materials, and any appendices).
b) The page number of which each section begins.
3. EXECUTIVE SUMMARY, which should:
a) Highlight the key points and findings of the report.
b) Be in the third person and use the present tense, e.g. This report compares.
4. INTRODUCTION, which should:
a) Give a succinct explanation of the aims, scope and context of the report.
b) Include brief details and definitions for any information necessary for the reader to understand the report.
5. MAIN BODY, which should:
a) Provide the main critical analysis of the different markets and securities as well as any relevant research on the topic.
b) Provide relevant figures and compare this with the respective base lines.
6. CONCLUSION, which should
a) Briefly summarise the aims and key findings of the report.
b) Make a recommendation to JP Morgan Asset Management Team as to how the team should invest providing justifications for this recommendation.
7. REFERENCES & BIBLIOGRAPHY, which should:
a) The list of references lists the details of any material that have actually been cited in the report (full details of the source should be given using the Westminster Harvard referencing system).
b) The bibliography lists the details of any other sources that you may have referred to when preparing the report but not actually cited in the report itself (full details of the source should be given using the Westminster Harvard referencing system).
c) Details of the Westminster Harvard referencing system can be found at https://www.westminster.ac.uk/current-students/studies/study-skills-and-training/research-skills/referencing-your-work
8. APPENDIX, which should:
a) Provide calculations for the figures used in the report and highlight the respective formulae used.
b) Include any other material that you feel may be relevant but does not warrant being included in the report.

Interprofessional Organizational and Systems Leadership.

Discussion – Week 1NURS – 6053N

Interprofessional Organizational and Systems Leadership. Two Pages

 

COLLAPSE

Top of Form

Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

· Review the Resources and select one current national healthcare issue/stressor to focus on.

· Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

By Day 3 of Week 1

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

APA References and citation

 

Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.

Bottom of Form

Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

· Chapter 2, “Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 37–62)

· Chapter 3, “Current Challenges in Complex Health Care Organizations: The Triple Aim” (pp. 63–86)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869

Note: You will access this article from the Walden Library databases.

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa

Note: You will access this article from the Walden Library databases.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303

Note: You will access this article from the Walden Library databases.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230

Note: You will access this article from the Walden Library databases.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404. doi:10.1016/j.profnurs.2016.11.005

Note: You will access this article from the Walden Library databases.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388

Note: You will access this article from the Walden Library databases.

 

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3

 

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360. doi:10.1097/JXX.0000000000000040

Note: You will access this article from the Walden Library databases.

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880. doi:10.1377/hlthaff.2013.0531

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future [Video file]. Baltimore, MD: Author.

 

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