Effects of APN Practice on Misuse or Overuse of Services

The APN movement’s rapid development and success have been regarded as a radical innovation in that APNs may deliver the same or better treatment than physicians at a cheaper cost and in a more convenient environment. This interruption has exacerbated professional turf fights that are detrimental to quality and patient safety. Strong leadership is essential to investigate creative models of multidisciplinary team approaches that promote patient safety, including how to remove barriers to interprofessional education and practice (Zaccagnini & Pechacek, 2019). As these professions expand, comparing APN outcomes to physician outcomes is a crucial validation of APN practice. Given the current demand for fundamental system transformation, new research questions regarding APN practice and patient safety have developed (Schober et al., 2020). To date, most outcome studies have concentrated on acute care nursing management and nursing-sensitive outcomes such as decubitus ulcers. Proper tools for measuring APN outcomes are yet to be discovered.

While the review of research on APN quality and safety certifies them as proficient and comparable to physicians in several ways, additional study is needed to eliminate errors and improve patient safety (Schober et al., 2020). Threshold enhancement cannot be attained without inter-profession practice tactics, necessitating radical change to break down the cultural and educational walls between nursing and medicine education. APNs must be identified as different provider types in all inter-profession research, organizational, and clinical datasets (Schober et al., 2020). It has taken decades for the nursing profession to dissociate licensed professional nursing from the ‘hotel costs of a hospital stay and unravel nursing’s unique position and usefulness within the hospital (Lopes-Júnior, 2021). Registered Nurses have always been viewed as a cost center rather than a valuable income stream within hospitals. Nursing’s value would not have to be argued if all professional nursing practice was billed individually, as is done with physician care. APNs must not be inconspicuous on the health care team as the evidence basis on interdisciplinary teams grows.

Conclusion

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Since its inception in general care, advanced nursing practice has expanded to other hospital environments, such as acute care. Acute care supports patients with chronic unstable disorders and complex acute and catastrophic illnesses with short-term restorative stabilization. Emergency and critical care are included in acute care. Although both emergency and primary care advanced nurse practice offer first-contact access to medical care, understanding the patient presentations distinguishes the two. Unlike general care, emergency NP/APNs are trained to care for patients in life-threatening or limb-threatening situations. NP/APNs in emergency and critical care have gained more practice autonomy during the last decade. This extended practice permits nurses to handle some medical functions generally performed by physicians, intending to boost access to healthcare and service effectiveness and potentially lowering healthcare costs.

References

Lopes-Júnior, L. C. (2021). Advanced practice nursing and the expansion of the role of nurses in primary health care in the Americas. SAGE open nursing, 7, 23779608211019491. Web.

Schober, M., Lehwaldt, D., Rogers, M., Steinke, M., Turale, S., Pulcini, J.,… & Stewart, D. (2020). Guidelines on advanced practice nursing. Web.

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning. (4th ed.)