Nurse Practitioners are in a favorable position to develop an, Wessel 3ongoing relationship and to build on patient strengths, taking into account real lifedemands of the patient. Public Health Nursing, 18(1), 33-39. Blackman A. In both of these settings, I learnedsubstantial management skills, and became aware of many realities of provision ofcare where there are limited resources (in addition to short funds, these realitiesinclude suboptimal buildings, inadequately trained staff, and the absence of commontechnological systems, such as computerized scheduling). 2 Nurse Practitioners in Community Health Settings TodayTraining and Roles of Nurse PractitionersAn NP is a registered nurse (RN) with additional training, usually at the masterslevel (some NPs have certificates, but those programs are being phased out). Nurse practitioners in community health settings today. Emerging practice settings for NPs include EDs in rural hospitals, convenient-care clinics, and house-call practices. One example of this is in the treatment of patients with elevated cholesterollevels. Nurse Leaders and Community-Based Nursing. Association of Community Health Nursing Educators (2003). Child; Community Health Services/manpower* Disease Management; Humans Some states allow NPs to practice completely independently, othersrequire a collaborative agreement with an MD that defines the scope of practice forthat work site, while others do not recognize practice by NPs at all. HHS Currently in primary care, specifically community health centers, there is a significant need to hire more advanced practice nurses to meet the care needs of patients in both rural and urban populations. Some NPs are successful independent practice owners, though their exact number isn’t known. 2006 Jan-Feb;27(1):45-50. doi: 10.1016/j.gerinurse.2005.12.014. Community health nurses are important to regions where healthcare is not easily accessible, so they can travel to remote places and isolated areas of a city. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. This includes taking a patient history,performing a physical exam, ordering and interpreting laboratory tests, providingmedication, referring to specialists and promoting healthy lifestyles. Many nurse practitioners and NP students imagine that a majority of their working lives will be spent inside of hospitals or clinics, treating patients in contained environments and being on-call; however, not all of these healthcare professionals suffer the stress of rushing through multiple patients every hour in these settings. Geriatr Nurs. Public health nurses are often the most visible group in a community health improvement setting. As an NP, in addition to providing cholesterol-lowering medications to patient,I talk to them about their diet and exercise routines. Reflect on the various settings in which family nurse practitioners are able to work. Today’s family nurse practitioners (FNPs) provide comprehensive patient-focused primary care to individuals across the lifespan—from infants to the elderly. I eventuallylanded a job at the National Assembly of Nicaragua during the years of the SandinistaRevolution. Several of my physician colleagues are also adept at providing individualizedpatient-centered care. These broad NP skills allow me great flexibilityand job satisfaction.NPs in the FutureNew areas on the horizon for NPs include a growing number of independent NPrun practices, increases in the number of health insurance companies that permitNPs to be primary care providers, and the use of NPs in “Minute Clinics” or out-patient rapid clinics houses in department stores where NPs can quickly treat avariety of episodic diseases, such as urinary tract infections and conjunctivitis. 4. During my rotations in NP school at Georgetown University, I sought rotationsin local community health settings where I could work with the kinds of populationsI would work with after graduation. Journal of Health Care for the Poor and Underserved 16 (2005): xxx–xxx. While medical training focuses on diagnosis and treatment,NP training builds on nursing’s foundations in care and prevention. – Holism, health promotion, and skill expansion The funding also supports a greater role for nurse practitioners in non-acute settings, including the areas of primary care, aged care and in rural and remote Australia. Perhaps not as nurse practitioners take on many of the roles long played by physicians. JAMA 2003; 290:57–65. Public health nurses work less with individuals and more with entire communities.Their role is to make sure that the overall health of the community that they are focusing on is improved. I have had the opportunity to work with and learn frommany of them. She has completed research in the areas of HIV and women, caregivers of children with HIV, HIV and the older adult, interprofessional education and health promotion and the older adult. Many states are trying to loosen decades-old licensing restrictions, known as "scope of practice laws," that prevent nurse practitioners from playing the lead role in providing basic health … I completed part of my NHSC payback in a large community health clinic inBaltimore and helped set up a satellite clinic serving the Latino population. Like members of many other professions, NPs are regulated by the state, inaccordance with state laws, and through certification with national credentialingorganizations. As a Family Nurse Practitioner, I am trained for a variety of practice settings,including primary care, teaching, research, and management. I kept asking him why hewasn’t putting his patients on the drug of choice, as I had learned it in pharmacology.Even in those days, before Personal Desk Accessories were in the pockets of mostclinicians, he could spout off the costs of all the major medications he put his patientson; often, the drug of choice according to the pharmacology text book was out ofthe economic reach of the patients. To learn how nurse practitioners got their start, visit AANP's Historical Timeline . To become a community health nurse you must first work as a registered nurse. But today’s traditional health care delivery model overlooks the growing demand for nurses at the front lines of care delivery in primary care settings. It is this flexibilityand variety of work that I thrive on and that allows me the opportunity to be partof many exciting public health projects, while still having time for my family andcommunity. 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