Posted: September 4th, 2022
apa format and 2 references for each peer
The healthcare issue that I chose to discuss is nurse practitioner-physician co-management. Today in healthcare
physicians are an asset to any facility. There is a need for more coverage in healthcare where physicians may be in short supply.
Nurse practitioners are becoming a major part of healthcare practice whether it be in an inpatient setting, a clinic, or private
practice. Having nurse practitioners available has been able to help meet the increasing demands that are in primary care
(Norful, et.al., 2018). To have a physician and a nurse practitioner work together to provide primary care for patients is a type of
co-management that is needed in healthcare. Through this type of co-management, there is effective communication; mutual
respect and trust; and clinical alignment/shared philosophy of care (Norful, et.al., 2018). These are reasons that physicians and
nurse practitioners should work together in providing the best care for patients. This would help lighten the workload for both
practitioners as well as improve patient care (Norful, et.al., 2018). For this change to take place in healthcare, the complexity of
the problems that may be faced as well as the solutions that are to be implemented must be discussed (Broome & Marshall,
2021). In my current place of work, we have physicians and nurse practitioners. They cover for each other as far as seeing
patients if one of them is sick, on vacation, or has a busy schedule. They work together well and provide excellent care for our
patients. This system of co-management works at our rural hospital and helps practitioners provide quality patient care and
ensure that patients are seen in a timely manner. The practitioners even make sure that they have time slotted in their schedules
to provide care through a sick clinic so that patients can be seen on short notice. There is a growing number of nurse
practitioners who can provide care that overlaps with the care that is provided by physicians (Auerbach, et.al., 2018). This is a
sure way that patients are given the care that is quality and that practitioners know what the patients need, and they provide that for
them. We as healthcare providers are fortunate to have such amazing opportunities to provide the best care possible for our
patients and to ensure they are cared for.
Peer 2- JA
Nurse practitioner and physician co-management is an excellent solution to the healthcare issue of decreases in primary care selections. Reducing the workload and stress placed on one physician benefits patients because they reap better health outcomes (Norful et al., 2018). Co-management also allows for the spread of paperwork and follow-ups (Norful et al., 2018). Improving compliance with follow-ups would be an outstanding achievement in ensuring patients follow recommendations to stay as healthy as possible.
In my hospital, nurse practitioners work alongside physicians in the adult world; however, none on the pediatric floor. There is an unfortunate shortage of pediatric nurse practitioners in the United States. Gigli and others (2019) report that only 5% of nurse practitioners in the U.S. are specialized in pediatrics. As more pediatric nurse practitioners graduate, hopefully, more opportunities for co-management will become available to the pediatric population. This stressor impacts my work area by relying on the pediatricians to complete all the work. Hiring a pediatric NP would help decrease their stress in the day-to-day job and allow more time to be spent with each child or newborn.
Peer 1 JA
Evidence-based practice (EBP) is critical to delivering safe, quality care and is incorporated into the quadruple aim (Melnyk & Fineout-Overholt, 2018). Additionally, evidence-based practice allows healthcare providers to ensure they deliver the best research-backed care. As upcoming nurse practitioners, students should be sure to join organizations that support the use of EBP.
American Association of Nurse Practitioners
The American Association of Nurse Practitioners (AANP) is an organization and resource to utilize as healthcare professionals. The AANP’s mission encourages nurse practitioners and NP students to enhance their knowledge of providing high-quality, evidence-based care (AANP, n.d.-a). By joining this healthcare organization, one benefits from participating in continuing education and professional development opportunities (AANP, n.d.-a). EBP also appears throughout the AANP’s core values because they value promoting best practices and patient outcomes (AANP, n.d.-b).
Given that principles of EBP are at the root of the AANPs mission statement and core values, I would say this organization’s work is grounded in EPB. Melnyk (2018), a member of the AANP), explains how using EBP has even been shown to reduce burnout, as it inspires practitioners to deliver care that improves patient outcomes. Melnyk (2018) encourages the use of EBP to members and includes a list of EBP resources directly from the AANP.
Given the information on the American Association of Nurse Practitioners website, my perception of this organization has not changed. I already felt this organization was very reputable. However, I do have more respect for the organization, knowing they support evidence-based practice at their core. As a nurse practitioner student, this organization would be appropriate to join to advocate for future patients.
Peer 2 AF
The Joint Commission (TJC) has been around since 1951 and is a well-known accrediting body (History of The Joint Commission, 2022). The Joint Commission compiles a set of standards derived from evidenced-based practice on patient safety, medication administration, medical errors, and many more (Joint Commission FAQS, 2022). The standards are revised consistently due to developments in technology and medicine which keeps relevant information up to date to provide high quality care to patients. The Joint Commission performs on-site surveys in hospitals and many other healthcare settings to inspect the health practices, education, and patient safety measures implemented (History of The Joint Commission, 2022). This ensures that hospitals are following evidenced based practices (EBP) that create positive health outcomes for their patients. In addition, TJC assists with distributing valuable information and provides resources concerning the quality of care and safety of patients (Why Choose The Joint Commission, 2022). According to TJC, patient safety concerns are reviewed and evidenced-based practices are created as a remedy to the problem (Patient Safety, 2022). The Joint Commission consists of: The Joint Commission Center for Transforming Healthcare, Joint Commission Resources, and Joint Commission International (Joint Commission FAQS, 2022). Joint Commission Resources provides access to journals and educational resources (Joint Commission FAQS, 2022). This allows EBP to be easily accessible to the public. Evidenced-based practice is stated in many areas of the TJC’s website such as in the standards of care, patient safety, and FAQs on The Joint Commission. This healthcare organization is rooted in evidenced-based practices because the standards of care originate from the solutions and studies of EBP.
My perception has changed from the information found on the healthcare organization’s website. It has actually given me a clearer understanding on the need to be accredited and the standards that must be followed to provide quality care and the best outcomes for patients. The Joint Commission typically follows the care of a patient from the unit the patient is in and the interactions with healthcare professionals. They survey the current practices instituted in hospitals and the knowledge healthcare workers have to determine if they adhere to the standards of practice.
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