Anda di halaman 1dari 44

Independent Advanced Nursing Practice

Rosemary Goodyear Ed.D, APRN-BC, FAANP Chair INP/APN Network

China 1983

Independent Advanced Practice Nursing


What

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

the nurse is autonomous in decision making in the practice environment


the nurse is responsible and accountable for all outcomes in the practice environment

where

Independent Practice
IS

A NURSING BUSINESS

where

the nurse is an entrepreneur a risk taker!

Why Pursue IP Now?


BECAUSE- Nursing

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!

China 1983

Preparation for IP

Reasons Research Readiness References Resources

Reasons for Initiating IP


TO

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

Care System that govern

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?

Laws and Regulations for IP

System of regulation

In place to register, monitor and protect nurses

Is

the power to regulate nurses within the profession or government? Who writes the scope of practice? Are nurses registered to practice as generalist?

Literature Review for IP


Through

the library and internet explore prior studies of APNs


Information

needed to submit a

proposal Successes and barriers to independent practice

Readiness for IP
Readiness
Business

plan Fiscal support Collaborative support Marketing and publicity Operations

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

usually philanthropic foundations; trust funds Internal


Grants
Personal

savings Friends/colleagues
External
Loans-debt

or equity Venture capital

Readiness
Collaborative

Support

Nursing

colleagues and peers Physician colleagues and peers Professional colleagues in legal and business arena Personal support family, friends

Readiness Marketing and Publicity


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

China 1983

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 Resource - Professional Nurse Associations

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

A Resource - Professional Nurse Associations

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

A Resource - Professional Nurse Associations

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

of Independent Practice may include:


Solo/Private Practice Collaborative Practice Group Practice

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.

China 1983

Independent Practice
What qualities must an APN have to practice independently?

Independent Practice Qualities

Entrepreneur Self Assessment


one who organizes and manages a business undertaking, assuming risk for the sake of profit Decision-making and/or taking charge Self discipline and self direction Stamina Able to communicate and negotiate

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?

Positive Entrepreneurial Qualities


Like

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

Negative Entrepreneurial Qualities


Lack management experience Lack understanding of financial planning Poor location of facilities Poor fiscal management Underestimates the personal time Over expands too quickly Over spends budget

Conclusion

The future is bright to move nursing forward


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

Hong Kong Harbor 1983

Anda mungkin juga menyukai