question help

1

Part 1

Brown and Oshansky explore the process of transitioning from registered to APRN nurse using the ‘limbo to legitimacy’ model. Their theory identifies four categories of transition, which I can use during my first year of practice. The first category, for instance requires laying of foundation. This can be applied when I have completed school and not yet finished the necessary stages to secure an employment. It includes recovering from school and pursuing certification and licensing (Brown & Olshansky, 1997). As a new graduate, I will need an opportunity to assess the outcomes of a self-inventory, and design a clearer vision of where my interests rest and what employment parameters meet my needs. The launching of the second stage, which is the beginning of the first position from expert RN to the novice APRN in a clinical setting. This will require engaging in hard research work. As the transition process shifts to stage 3, the task of meeting the challenge, which is a time when the APRN’s expectations become more realistic and helps the individual to gain more skills and confidence. The internal support systems can help the new APRN to deal with the daily challenges of the existing health care system. It is in that phase that greater self-esteem is actualized and a secure feeling of legitimacy starts.

Part 2

Patient-centered care and value-based payment system can impact my personal practice as a nurse practitioner and transform the ways in which primary care is delivered in the United States. In patient-centered care, health professionals inform, advice, and support patients as they make decisions regarding their health and treatment. In this respect, the patients do not take orders from their health care providers, but rather encourage them to actively participate in directing their own care. This can impact nurse practitioners by encouraging health professionals to take into account the totality of an individual patient. The patient has emotions, questions to raise, opinions, financial worries, and families. Therefore, patient-centered approach focuses on working in partnership with patients when addressing them and dealing with the whole health care problem. In primary care setting, the patient-centered setting can be employed to provide a welcoming environment for families in care settings, and align the treatment goals with the patients’ needs. Similarly, value-based payment impacts nursing practice in varying ways. For instance, it motivates health practitioners to attain the triple plan of improving population health, reducing health care costs, as well as improving the health care experience. In the primary health care settings, it helps the professionals to know about their patients and data. To attain this goal o linking Medicare payments to quality or value, it is important to determine the attribution model to use. Once the health professionals gets a basic understanding of patient attribution, they should ensure that they are tracking the right data for them (Cuenca, 2017). Additionally, the value-based care encouraged practitioners and primary care institutions to build effective teams, which provide insights into different health care problems.

Part 3

Nurse practitioners are increasingly becoming important in cutting costs in health care settings. As a result, eliminating nurse practitioners’ scope of practice restrictions in states continues to be the focus in care delivery (American Association of Nurse Practitioners, 2015). In primary care settings, nurse practitioners play an integral role in reducing costs by lowering patient hospitalization rates, ER visits, and lengths of stay at various health care facilities. They are also integral in keeping health costs down for patients, institutions and taxpayers. Cost reduction is also attained by reducing the time and income that is lost during work (American Association of Nurse Practitioners, 2015). This pattern is often observed by many studies in the nursing management literature, which shows that nurse practitioners cut costs because they are paid lower than physicians.

References

American Association of Nurse Practitioners. (2015). Nurse Practitioner Cost Effectiveness.

https://www.aanp.org/advocacy/advocacy-resource/position-statements.

Brown, M., & Olshansky, E. (1997). From limbo to legitimacy: a theoretical model of the

transition to the primary care nurse practitioner role. Nursing Research, 46(1), 46-51.

https://uw.instructure.com/courses/812898/files/22971045/download

Cuenca, A.E. (2017). Preparing for value-based payment: five essential skills for success. Family

Practice Management, 24(3), 25-30. https://www.aafp.org/fpm/2017/0500/p25.html