ROLE TRANSITION TO ADVANCED PRACTICE NURSING ST Thomas University Role Transition to Advanced Practice Nursing Discussion

Instructions:

You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts. 

I need to reply to the student below:

• Barriers for Advanced Practice Nursing
• Student: Rachel

NUR-512 ROLE TRANS TO ADV PRC

Over the course of the last few decades, advanced practice nursing has been confronted with a number of difficulties. (Altman, Butler, & Shern, 2016; Poghosyan, 2018) Some examples of the challenges that advanced method nursing faces include the fact that different states have different ranges of method, that orders must be signed off on by a physician, and that there are differences in the billing methods that are used by medical professionals and advanced practice nurses in Medicare.

According to Altman, Butler, and Shern (2016), only thirteen out of the fifty states in the United States have allowed advanced nurse practitioners to carry out their duties with full method authority since 2016. This is because the ranges of technique vary from state to state in the United States. Full method authority is defined as “the consent of nurse practitioners (NPs) to assess patients, identify, order and analyze diagnostic tests, and launch and handle therapies—including recommend medications—under the special licensure authority of the state board of nursing” (American Association of Nurse Practitioners [AANP], 2021, paragraph 1). This definition was provided by the American Nurse Practitioners Association (AANP). According to the American Association of Nurse Practitioners (AANP), as of the year 2021, almost half of the states have made full method authority accessible for nurse practitioners. This type of authority enables nurse practitioners to provide treatment for the state board of nursing rather than for a licensed physician.

According to Altman et al. (2018), removing this barrier will undoubtedly make it possible for advanced registered nurse practitioners (ARNP) to practice to the fullest extent of their education, learning, and training. Additionally, it will increase the number of healthcare providers working in primary care, which will subsequently allow for increased access to medical care for individuals. The major technique that would be utilized to overcome this impediment would be to grant entire method authority in each of the fifty states and territories that make up the United States of America. This would make it possible for everyone to have improved access to medical care. In order to equip ARNPs with the ability to deliver the highest possible level of care for each and every individual, the American Association of Nurse Practitioners (AANP) is collaborating with state boards of nursing and lawmakers in states that do not have total method authority (AANP, 2021).

An additional challenge is that, according to the criteria set out by the government, ARNPs are required to have a medical expert approve an order that is positioned in a number of states (Poghosyan, 2018). According to Poghosyan (2018), this makes it relatively difficult for ARNPs to provide home health care, despite the fact that they are the ones who provide one-on-one supervision. Advocate for full practice authority in the remaining states to ensure that advanced registered nurse practitioners (ARNPs) are able to provide the finest possible home healthcare services to patients. This is the most effective way to overcome this impediment.

The final obstacle that stands in the way of new nursing methods is the disparity in billing that exists between ARNPs and physicians. It is more advantageous for medical care techniques to charge for nurse practitioner services under the name of the physician in jurisdictions where advanced registered nurse practitioners (ARNPs) are required to work under a certified medical professional (Poghosyan, 2018). This allows the organization to collect a larger amount of reimbursement. In spite of the fact that this is advantageous for the company, it is not advantageous for the ARNPs. This is due to the fact that they are considered to be “invisible providers” (p. 1), and the high quality of treatment that is linked to individual end results is determined in an incorrect manner, which is essential for efficiency evaluations for ARNPs under Medicare (Poghosyan, 2018). It is necessary to make it possible for nurse practitioner services to be invoiced without the need for them to be supervised by a physician in order to overcome this impediment. According to Poghosyan (2018), this would not only make it possible to achieve more precise individual outcomes, but it would also facilitate more straightforward payment procedures.