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is advanced practice nursing? What is an Advanced Practice Nurse (APN)? What is independent practice (IP)?
Independent Practice
IS
A NURSING BUSINESS
that
works within the professional, legal, socioeconomic, cultural and personal environments
addresses the patient/clients health needs for efficient, safe and cost-effective care
that
Independent Practice
IS
A NURSING BUSINESS
that
allows the nurse to demonstrate excellence in nursing care and provide job satisfaction
offers direct patient/client care, education, research, administrative and/or consultative services.
that
Independent Practice
IS
A NURSING BUSINESS
where
where
Independent Practice
IS
A NURSING BUSINESS
where
knowledge is advancing professional practice The national health systems are changing their attitudes towards nursing Liberal global trade agreements
Why Now?
BECAUSE- Transformation
of laws and scope of nursing practice populations are without access to care in health needs of people are not being addressed
Patient
Change
WHY NOW?
BECAUSE- Many
of the conditions necessary for a successful transition into independent practice are present today!
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Preparation for IP
HAVE NURSES --
Improve the quality of health careBecome an integral part of the health care systemDemonstrate quality professional practice-
Reasons cont.
TO
HAVE NURSES--
Demonstrate reduced health care cost Implement a scope of practice that reflects current nursing knowledge Demonstrate ethical practice and equality for nurses
Research before IP
Research
Health
of
Regulations/laws
nursing
Literature
of similar ventures
Research cont.
Health
Care System:
Public
or Private or mixed Are nurses currently working independently within the system? Does the system contract for nursing services verses employment?
System of regulation
Is
the power to regulate nurses within the profession or government? Who writes the scope of practice? Are nurses registered to practice as generalist?
needed to submit a
Readiness for IP
Readiness
Business
Readiness
Business Plan
Mission and goals Philosophy of care Services Target market Competition Business history
Benefits Marketing Plan Facility advantages Management team Financial projections Budget
Readiness
Fiscal
Support
savings Friends/colleagues
External
Loans-debt
Readiness
Collaborative
Support
Nursing
colleagues and peers Physician colleagues and peers Professional colleagues in legal and business arena Personal support family, friends
Know your product Identify the market area Identify the competition Know the customer needs Establish a marketing plan
Networking with colleagues Word of mouth In-kind service in the community Write for local paper Brochures Business cards
Readiness
Operations
Location Materials and personnel necessary for operations A management plan to include contracting, price of services, billing systems as well as meeting the regulations for the business operations Personnel rights, responsibilities and benefits
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Reference
Brown,
S A and Grimes, D E (1995). A meta-analysis of nurse practitioners and nurse midwives in primary care. Nursing Research, 44(6), 332-338.
Reference
Sanders, E. M. and Kingma, M. (2003). Handbook on Entrepreneurial Practice: Nurses Creating Opportunities as Entrepreneurs and Intrapreneurs 11 International Council of Nurses
Resources for IP
Resources
Personal
entrepreneurial zeal System of reimbursement Physical setting Support systems Patient population
A comprehensive health system includes nurse entrepreneurial practice The adoption of a scope of practice, standards and competencies for the APN is fundamental to protect the nurse and public
The legitimation of advanced nursing practice must be written into law/rules Inform the public about the new advanced role of nurses Support entrepreneurial nurses in policy manners such as equality of pay or reimbursement
Educate the policy makers about APNs and the entrepreneurial projects Encourage APNs into membership through supportive activities/programs Support advanced nursing through periodic research of trends and needs of health care
Independent Practice
Types
Independent Practice
Solo
A
or Private Practice
single professional nurse and staff operate and manage an office/clinic serving the health needs of a patient population.
Independent Practice
Collaborative
One
Practice
or more independent health professionals work together through contract or consultation to provide services for their patient populations.
Independent Practice
Group
A
Practice
coalition of health care professionals form a business to provide services to a population of patients.
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Independent Practice
What qualities must an APN have to practice independently?
Entrepreneurship cont.
Do
you enjoy competing in a business environment? Can you admit when you are wrong? Are you a self starter who can work on your own? Do you trust people and do they trust you? Do you know how to quickly solve problems?
to be in control Are goal oriented Able to manage by aims and goals Able to analyze situations to minimize risk Creative thinkers Can admit they are wrong Believe in themselves
Conclusion
Where is nursing in your nation? Do you want to move nursing into a partner role in the delivery of care? Do you have the qualities of an entrepreneur?
Nurses
can be more independent and in control of their practice and patient care when there is regulatory and professional support.
Conclusion
Answers to these questions can lead nursing and health care of the people forward. What is your answer? Thank you Rosemary Goodyear
rtgoodyear@gmail.com