Synthesis of Scholarly Sources

.odt

School

Martin Community College *

*We aren’t endorsed by this school

Course

112

Subject

English

Date

Feb 20, 2024

Type

odt

Pages

5

Uploaded by zl09020

Running head: [Shortened Title up to 50 Characters] 1 Synthesis of Scholarly Sources Zynaeja Leary Christina Hale ENG112 Feb 14,2024
[Shortened Title up to 50 Characters] 2 The article “Should a nurse practitioner be allowed to work independently” talks about the debate about whether nurse practitioners should be allowed to practice independently without physician supervision. It highlights the arguments for and against this change, with advocates emphasizing that nurse practitioners can help address the shortage of primary care providers more quickly and cost-effectively than physicians. However, opponents, including the American Medical Association (AMA), argue that physicians have the necessary education and training to lead the healthcare system. The article also mentions the different requirements for nurse practitioners in various states, with some allowing independent practice and others requiring physician supervision. It emphasizes the need to prioritize quality of care over accessibility in the healthcare system. The American Medical Association(AMA) and the Council of Medical Specialty Societies (CMSS) advocate for NPs to work within a physician-led team structure to physicians’ training and education, as stated in the article “ research shows that in the states where nurses can practice independently, physicians and nurses continue to work in the same urban areas, so increasing the independent practice of nurses has not helped solve shortage issues in rural areas,” In this article it also discusses the differences in the education and clinical experience between NPs and physicians. It discusses how rookie Nps acquire significantly fewer hours than a new family physician. As for current regulations, it mentions that 21 states allow NPs to practice independently, while the rest mandate physician's supervision for certain functions. The CMSS notes concerns of the lack of specificity in the Institute of Medicine (IOM) report regarding the standards necessary for expanding NP practice. The article concludes with a call for continued efforts to address shortages in both nursing and physician professions, stressing that physicians, with their extensive education and training, are best suited to lead the healthcare system.
[Shortened Title up to 50 Characters] 3 The article “Advanced practice nurses who want more independence in NC tussle with doctors who oppose granting it” touches on the ongoing struggle in North Carolina regarding the autonomy of advanced practice nurses, with Nps and nurse midwives pushing for more independence. Stephenie Brinson’s experience underscores the challenges faced by Nps, with Brinson highlighting the difficulties in finding and maintaining a supervising physician under current regulations. Brinson Recalls her struggle, saying, “Getting a supervising physician was a real challenge,” and she shares her insights into the financial burden of physician oversight, such as paying $500 monthly and hearing clinic profits with the supervisor. The Senate’s initial proposal in 2022 aimed at granting more autonomy to advanced practice nurses as part of Medicaid expansions but was hindered in the House, leaving nurses under frustrating physician supervision regulations they had long sought to change. This article also goes into the substantial financial and political aspects influencing the scope of practice debate, as both nurse anesthetists (NA) inflicting the scope of practice debate, as both NA and anesthesiologists strategically channel large campaign donations towards influencing legislators. The power dynamics between these healthcare professions are evidenced by the significant disparities in campaign contributions, with NAs and anesthesiologists engaged in an escalating monetary arms race. Senator Ralph Hise’s commentary reflects this fierce competition, as he mentions, “The offer is still open for [ anesthesiologists] to come sit down at the table and to negotiate what thus needs to look like. Up until this point they have refused to do so.” This clash of financial interests underscores the high stakes involved the battle for autonomy between NPs and physician organizations in North Carolina healthcare policy decisions. Both sources discuss the issues of nurse practitioner (NP) seeking more independence in their practices. The first source provides a comprehensive overview of the arguments for and against Nps working independently, including the differences in education and trading between
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
  • Access to all documents
  • Unlimited textbook solutions
  • 24/7 expert homework help