American Association of Nurse
Evelin
According to the last report of the American Association of Nurse Practitioners, the scope of the nurses’ practices is not limited by their titles. On the contrary, advanced nursing practice allows nurses to actively participate in clinical diagnoses, interventions, treatment monitoring, prescribing, and examinations physical (Batey & Holland, 2018). At present, the concept of advanced practice nurses has achieved worldwide development, for this reason, the health system prefers advanced practice nurses because they are trained professionals to meet the needs of patients and meet the administrative requirements of the system sanitary (Coulehan & Sheedy, 2017).
Prescribing for advanced practice nurses (APRNs) is a new integration to their responsibilities and duties with the health of patients. The prescribing of these nurses, has demonstrated effectiveness and efficacy, and allows APRNs to approach the integral and efficient management of patients from the viewpoint of other nurses, given that, according to each state, APRNs have the power to prescribe, that is, if APRNs have experience in prescribing, each state can limit this practice (Scudder, 2016).
Regarding the education of APRNs, these nurses should be specially educated to formulate prescription medications, to train about safe practices based on formulas and the combination of controlled medications. On the other hand, the limited APRNs for the formulation of medications, have the option of working interdisciplinary with other professionals to participate in the prescription, this ensures that nurses know the risks and benefits of the prescription (Coulehan & Sheedy, 2017). However, this seems to be a barrier, like the laws in each state, since it does not allow trained APRNs to exercise their knowledge and skills in this regard. Although this practice aims to protect the integrity of patients, it limits the experience and autonomy of nurses with the knowledge and certified education (Batey & Holland, 2018).
Finally, another barrier faced by nurses trained and endorsed by the state, are the regulations of each health institution, since, each hospital can determine the scope of APRNs, that is, hospitals can limit the APRNs to formulate prescriptions of medications, even if, they are accredited and allowed by the state, since, federal and state laws give hospitals autonomy to determine the competencies and functions of each of their workers (Jiao & Murimi, 2018). Likewise, it is possible to affirm that the main consequence of these barriers affects the quality and effective care of patients, since, in some cases, there may be delays in medical care until a certified physician supervises the activities of APRNs, increasing health costs and decreasing patient satisfaction (Batey & Holland, 2018).
Guillermo
The Role of Advanced Practice Nursing in Safe Prescribing
APRNs consist of nurse midwives, nurse anesthetists, clinical nurse specialists, and nurse practitioners. They are all involved ensuring the future of health care. APRNs are in most cases providers of primary care, and are at the forefront of offering preventive care services to the entire public. The usually diagnose and treat illnesses, manage chronic diseases, advises the public on health matters, and take part in incessant education for the purposes of remaining ahead of methodological, technological, and other developments within the health care fields (Blair & Jansen, 2015). NPs offers specialty, acute, and primary health care across the lifespan via treatment, diagnosis, and assessment of injuries and illness. Certified Nurse-Midwives offers reproductive, gynecological and primary health care. Certified Registered Nurse Anesthetists offers a full array of pain management and anesthesia services. Clinical Nurse Specialists offers treatment, diagnosis and continuing patient management.
Prescribing Barriers for APRNs
The three main barriers for APRNs include state practice and licensure, physician related issues, and payer policies. The practices of NPs are usually controlled by the state licensure. It is only a third of the entire nation which has assumed a complete practice licensure and practice laws for the NPs. State licensure controls the practice of NP and is a barrier to them performing to the completest level of their training and education. Physical related issues may comprise of some of the physician profession organizations, which includes the American Medical Association. They have a belief that since the physicians have more and longer rigorous training than the NPs, nurse practitioners do not have the ability of providing safe and quality care at a similar level like the physicians. Lastly, under the payer policy barrier, a number of NPs have reported that payer policies have a substantial impact on their capability of practicing to the fullest level of their training and licensure (Kung et al., 2015).
Dailamis
Advanced Practice Nursing (ARPNs) takes a vital role in the upcoming expectations of healthcare. These nurse practitioners establish illness and recommend the community on health concerns and management of importunate diseases (Michelle, 2018). As well, the evolvement in healthcare recommends nurse practitioner to partake a crucial position in improving a range of health outcomes of various populations. This involves exercising safe medical prescriptions authorities for patients they handle as well as demonstrating core competencies in the profession. This will respond to the various needs of the highly revolutionizing healthcare surroundings.
Alongside with safe prescriptions nursing practitioners require core competencies such as skills on advanced pharmacology that help them manage medications. Nursing practitioners must know the potentially harmful combination of medications. This will reduce inflict of medical interactions that would lead to severe complications such as organ damage (Michelle, 2018). Moreover, gives them the basis of safe dosage range and effective monitoring of some drug medications.
Besides skills of advanced pathophysiology gives a future nursing practitioner with a basis of making proper clinical decisions relating to diagnosis and cure of severe and chronic infections (Jordon, 2017). These skills help them perform more effective treatments for their patients and create a better connection with them concerning certain body alterations.
