Nurse Practitioner Autonomy

Background

• Increased efficiency of health workers is required.
• There are barriers to NP’s better performance.
• NPs usually operate under the restricted authority.
• Nurses need to coordinate prescriptions with physicians.
• Advanced practitioners need more autonomy in the workplace.

The current situation in the healthcare system forces nurses to operate under serious pressure (Booker, 2015). Though allowed to prescribe medications, NP’s have to coordinate all their actions with physicians. It is, therefore, required that advanced practitioners receive more autonomy in the workplace.

Nursing Issue

• NP’s autonomy is not beneficial to hospitals.
• The largest states limit nurses’ duties too.
• Only allowed to prescribe schedule II-V substances.
• The issue should be discussed at the legal level.
• The ethical aspect needs to be considered too.

Nurses’ ability to prescribe medications, provide supervision, and interpret diagnoses should be given legal permission. Changes of this kind are needed to “influence nurse motivational level” (Azedo & Alves, 2014, p. 92).

PICOT/PICO Question

• Does nurses’ satisfaction differ depending on the state?
• NPS and patients are the target population
• Patients’ satisfaction should be investigated too.
• Nurses’ motivation needs to be improved.
• Better functioning through patients’ and nurses’ feedback

A comprehensive investigation of the existing health care setting is required to make sure that the suggested intervention will improve the overall system functioning. The study findings show that nurses’ satisfaction with work conditions may differ depending on the state and the clinic. However, favorable relationships with patients always lead to higher satisfaction of both nurses and clients (Poghosyan & Liu, 2016).

Key Literature Support 1

• Duncan and Sheppard (2015) study practice initiative
• Booker (2015) studies reorganization of the modern healthcare sector.
• Poghosyan and Liu (2016) investigate family satisfaction.
• Poghosyan and Liu (2016) outline NP’s role vision
• Azedo and Alves (2014) study medical facilities.

These authors study the nurse autonomy issue using a whole variety of methods and approaches. Their findings are used by many scholars to support their claims about the nursing staff duties.

Key Literature Support 2

• Creswell (2013) studies care delivery in hospitals.
• Creswell (2013) admits the importance of advanced practitioners.
• Robinson (2014) mentions outcomes of autonomy restriction.
• Booker (2015) analyzes the practices of registered nurses.
• Booker (2015) insists on removing barriers.

The researchers provide plenty of data having value for further topic studies.

Theoretical Framework

• Investigation demands a structured approach and appropriate methodology.
• Quantitative tools are used in the study.
• Both nurses’ and patient’s experiences are considered.
• NP’s attitudes are measured using a survey.
• Survey addresses patients and their opinions

The investigation of the nursing autonomy issue requires a structured approach and appropriate methodology to acquire the relevant data. Quantitative tools of data collection arrive as the most suitable means to study both nurses’ and patients’ experiences (Creswell, 2013).

Change Model

• The quantitative methodology provides data about nurses’ experiences.
• Efficient approach and increased credibility of information
• Meets specific requirements related to data analysis
• Conducts comprehensive investigation of nurses’ demands
• Patients’ response to different practices is considered.

The issue of full practice authority for nurses requires a comprehensive investigation. An introduced change model takes a specific approach to data collection, which allows one to do a comprehensive investigation of the key nurses’ demands.

Research Design and Sample

• Focused on the evaluation of particular group data
• Can pick patients from different locations
• Is able to describe the current situation
• It is conducted both on paper and online.
• Can investigate a phenomenon from different perspectives

A chosen sampling method ensures the increased credibility of data and covers nurses and patients from different locations. It helps to fully define the role of a nurse practitioner in a clinic (Robinson, 2014).

Data Collection

• The quantitative research methodology is given priority.
• It ensures patients’ response to different practices.
• Guarantees the increased credibility of information
• The questionnaire arrives as an alternative data collection tool.
• The main data are achieved through a survey.

The quantitative method of data retrieval will provide the relevant information related to NPs experiences. Questionnaire and survey will serve as a means of task fulfillment.

Data Analysis

• Calculation of study results in percentages
• Distribution of data among various groups
• Analyzing the results according to their prevalence
• An in-depth study of patients’ reviews
• Information is analyzed for correctness and completeness.

NPS answers related to different aspects of nursing practice could be distributed among various groups to improve their comprehension of a given issue. The final results of the study are represented in percentage equivalent.

Solution Impact

• Patients have a more positive treatment experience.
• Study outcomes prove the system’s efficiency.
• Nurses use a full set of skills.
• Plan recognition and support of stakeholders
• Further implementation of autonomous system for nurses

Nurses are more satisfied with their jobs. They are allowed to use a full set of their professional skills (Duncan & Sheppard, 2015).

Translation

• Doctors fear NPs to impact their wages.
• Physicians feeling pressured by these changes.
• Evidence of the positive impact of nurses’ autonomy
• NPS can work in hospital deficiency places
• Nurses continuously interact with various authorities.

Some medical specialists believe that nurses may pose a threat to doctors in what refers to their practices and salaries. However, studies prove that nurses positively influence clinical performance due to the ability to work in any environment.

Conclusion

• Nurses’ autonomy should not be neglected.
• Model implementation can improve healthcare.
• Evidence-based research is needed for more findings.
• The scientific rationale for application is needed
• The research uses quantitative methods of data collection.

The implementation of the new model of care delivery on a nationwide scale can significantly improve the U.S. healthcare system.

References

Azedo, D., & Alves, H. (2014). Internal marketing practices in health care and their influence on nurse motivation. Public versus nonpublic management models. Home Health Care Management & Practice, 26(2), 92-100. Web.

Booker, C. (2015). Healthcare and probation: The impact of government reforms. Probation Journal, 62(3), 268-272. Web.

Creswell, J. W. (2013). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Thousand Oaks, CA: SAGE publications.

Duncan, C. G., & Sheppard, K. G. (2015). The full practice authority initiative: Lessons learned from Nevada. The Journal for Nurse Practitioners, 11(6), 610-617.

Poghosyan, L., & Liu, J. (2016). Nurse practitioner autonomy and relationships with leadership affect teamwork in primary care practices: A cross-sectional survey. Journal of General Internal Medicine, 31(7), 771-777.

Robinson, A. (2014). Enforcement and compliance: Critical practices for community rehabilitation companies and the new NPS? Probation Journal, 61(3), 265-277. Web.