Lee High School
How do Nurse Practitioners provide effective services to children and adults?
Nurse Practitioner
Cristal Fernandez
Senior Capstone
J. Snyder
April 13, 2017
Fernandez 1
Cristal Fernandez
J. Snyder
Senior Capstone
April 13, 2017
Nurse Practitioner
Currently, there are 174,606 advanced practice nurses in the United States. Nurse
practitioners job growth increased about 34% and is still increasing around the world since 2012.
(Barnett). Nurse Practitioners are advanced registered nurses; they have more advanced
knowledge and have to take an advanced clinical practice study course to be where they are at.
Nurse practitioners provide effective services to children and adults by enforcing laws and
policies, by giving quality care, and by offering more than just physical care.
Certain countries have state laws that still restrict nurses from doing training all on their
own. These laws are made to make sure nurse practitioners or any other nurses not get too ahead
of themselves and risk the life of a patient or risk losing their job. State laws vary widely in the
level of physician oversight required for nurse practitioners, with some states allowing nurse
practitioners to practice independently, while others limit nurse practitioner's authority to
diagnose, treat and prescribe medications to patients without supervision (Yee). Arkansas,
Indiana, and Michigan are one of the few states that dont restrict what services nurse
practitioners can do. In those states, they are allowed to diagnose patients on their own, but
sometimes they will need the supervision. This doesnt mean nurse practitioners can do whatever
they please, but they have more rights than others. Georgia is known as one of the states that
restrict what nurses can do; they need to be supervised at all times and cant diagnose patients on
Fernandez 2
their own. The nurse practitioner role has developed and expanded (Barnett) Since the role of
nurse practitioners began in 1965. It has expanded and developed in many other countries as
well. Not only did it improve technology wise, but it also improved their services with patients.
As the next few years pass, all equipment nurse practitioners will improve, expand, and develop
into other places and hopefully, this field will have more job openings.
Quality care is an important factor to becoming a nurse practitioner because being in
charge of a patients life means to do all check ups the correct way and if having the time, do
everything twice to make sure everything is correct. Nurse practitioners ordered slightly more
lab tests than physicians did (Iowa Nurse Reporter). Nurse practitioners are more cautious than
physicians, and that shows quality care and the importance of the patient. Some nurse
practitioners even do lab tests more than once or twice to make sure everything is correct.
Nurse practitioners have demonstrated for decades that they can provide quality, cost-effective
primary care (Barnett). As the years pass, records show that the quality care nurse practitioners
shown has improved, and they are known to give good quality care. The quality care nurse
practitioners give constantly improve and will continue to do so for the good of the patients.
Nurse practitioners are trained to show more than just physical care because it will show
the patient that they can trust their nurse. They are trained to talk to and be able to give advice to
their patients, their family, and to be there for them as well as to be patient. Nurse practitioners
serve as primary, acute and specialty care providers across the country (PR Newswire). Primary
care is the most basic care, and its just for getting a simple treatment for a small incident. Acute
care is more severe than primary care because it is for getting short term treatment for an illness
or an emergency medical condition. Specialty care is medical practice, and this is where they
Fernandez 3
decide what specialty they decided to study for. There are several different types of nurse
practitioners, some are for mental care, emotional care, physical care or some are even for
counseling. All nurses are trained to be careful about what they say to their patients or how to
break down the news to them. They are supposed to be seen as friends by their patients. Nurse
practitioners spent more time with patients, addressed health promotion more frequently, and
made more referrals than physicians. Their patients also had fewer hospitalizations. (Iowa
Nurse Reporter). Showing more than just physical care and rechecking their health will help the
patients out and reduce the times they need to return to the hospital. The patients arent only
adults but also children and having a child as a patient is more difficult to deal with because kids
are frightened most of the time. In order to go into nursing, you need to have kindness and
compassion (Plummer). Its important as a nurse to spend a lot of time with the patient, get to
know them and be able to gain trust because itll make the patient feel safe, connected and in
good hands.
In order for a nurse practitioner to provide effective services to children and adults, they
are expected to know the laws, policies, and roles, the quality care, and show more than just
physical care. All three of these concepts are important because itll show what an excellent and
prepared nurse does. Knowing the limit of what a nurse can do is important because passing the
limit is putting a patient in danger and putting the job as a nurse at risk. Doing more than just one
of the same lab tests is important also because sometimes lab tests can read incorrectly or not
catch the right results. The most important concept is to show more than just physical care so the
patient can feel connected, safe and in good hands, and so they are not in the hospital having
negative thoughts.
Fernandez 4
Works Cited
Barnett, Jennifer S. "An emerging role for nurse practitioners--preoperative assessment."
AORN Journal, Nov. 2005, p. 825+. Academic OneFile,
[Link]/ps/[Link]?p=AONE&sw=w&u=lom_accessmich&v=2.1&it=r&id=GAL
E%7CA138811191&asid=84d185503b61c1674fc462788533ba90. Accessed 30 Mar.
2017.
Hooker, Roderick S., and Ashley N. Muchow. "Modifying state laws for nurse practitioners and
physician assistants can reduce cost of medical services." Nursing Economics, Mar.-Apr.
2015, p. 88+. Academic OneFile,
[Link]/ps/[Link]?p=AONE&sw=w&u=lom_accessmich&v=2.1&it=r&id=GAL
E%7CA411470293&asid=a0883fcb0bdedcbb0c7853191450c544. Accessed 13 Apr.
2017.
"Nurse Practitioners Urge Congress To Improve Health Care Access." PR Newswire, 21 Mar.
2016. Academic OneFile,
[Link]/ps/[Link]?p=AONE&sw=w&u=lom_accessmich&v=2.1&it=r&id=GAL
E%7CA446950465&asid=8cc9dce31a5220ccaba4c42ea209e775. Accessed 13 Apr.
2017.
Plummer, Lynn. Personal Interview. 8 April, 2017
"The cost effectiveness of nurse practitioner care." Iowa Nurse Reporter, Dec. 2012, p. 10+.
Fernandez 5
Academic OneFile,
[Link]/ps/[Link]?p=AONE&sw=w&u=lom_accessmich&v=2.1&it=r&id=GAL
E%7CA318179612&asid=fbb3a01ed6bdbb986610b0674cd3a2c2. Accessed 13 Apr.
2017.
Yee, Tracy, et al. "Primary care workforce shortages: Nurse practitioner scope-of-practice laws
and payment policies." Georgia Nursing, May-July 2013, p. 14. Academic OneFile,
[Link]/ps/[Link]?p=AONE&sw=w&u=lom_accessmich&v=2.1&it=r&id=GAL
E%7CA329181759&asid=e20fdf62d38468c93b4e8560cd1d75bd. Accessed 12 Apr.
2017.