Response to a discussion board peer reviewed_sr

-REPONSE TO A PEER DISCUSSION BOARD! 150 words 1 reference within 5 yrs. APA format must have in text citations to match references. NO cover page needed. 

A Practice Change that an Advanced Practice Nurse Could Initiate 

        According to Kurtzman & Barnow (2017), the advanced practice nurse (APN) role was created in response to an increased demand for primary care in health care centers (HCCs).  Because of the fast-growing population in the medical setting, there is a great need for health care providers to be readily available for treatment and prevention of diseases. The APN could initiate a practice change and make up the shortfall of the vastly growing demand. The APNs are most often in primary care and family medicine practices, but also work as specialists in hospitals. 

Use a Change Model that Reflects a Team Approach 

          The APN role is individualized care that focuses on a patient’s medical issues as well as the effects of illness. The National Ambulatory Medical Care Survey used a design-based and model-based inference and weighed all estimates with the impact of the care of an APN delivered versus primary care physician (PCP) delivered care (Morgan et al, 2017). An APN work along with PCP may serve as a patient’s mid-level healthcare provider, and they may treat patients of all ages depending on their specialty. 

Explain how the Identified Change Would be Implemented in the Workplace 

        The APNs are qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications, and make referrals for a wide range of acute and chronic medical conditions within their scope of practice. Morgan et al., (2017) stated that patient-centered medical home models are a multifaceted approach to primary care designed to better meet the needs of patients with chronic disease. The APN stresses health promotion and education during hospitalization. An APN has the acquired the expert knowledge base, complex decision-making skills, and clinical competencies for comprehensive practice. 

Describe Barriers that may be Encountered with Change Implementation 

         According to Morgan et al., (2017), it has been requiring a physician involvement for an APN to prescribe medications. For example, the APN can’t prescribe controlled substances. Moreover, a supervising physician needs to be on site. As a standard of practice, a full prescriptive authority and chart co-signatory requirements determined at the practice level of the APN (Morgan et al, 2017). However, an adaptable collaboration of practice for PCP and APN to achieve the best outcomes for patients. 

Discuss how an Advance Practice Nurse Would Overcome those Barriers 

       Findings of Kurtzman & Barnow (2017), suggests that APN care is comparable with a PCP in HCCs and suggest that greater use of APNs unlikely to have a dramatic effect on patient care.

In conclusion, the APN can examine patients, diagnose illnesses, prescribe uncontrolled medications, and provide treatments. The APN role and responsibilities similar to those of PCP and able to perform collaborative treatment and care.