NUR 740 Discussion 10; Scope of Practice and Patient Safety Essay

NUR 740 Discussion 10; Scope of Practice and Patient Safety Essay

NUR 740 Discussion 10; Scope of Practice and Patient Safety Essay

Scope of Practice and Patient Safety Sample Essay

Healthcare practitioners work in multiple clinical settings with varying roles and work demands. To perform effectively and efficiently, healthcare practitioners should embrace teamwork and work with clear roles (Costello et al., 2021). The conversation between Todd Unger and Kai Sternstein highlights issues related to the scope of practice. Broadly, the issues raised are challenges hampering collaboration between physicians and non-physicians. If not effectively addressed, these issues are detrimental to patient care and a team-based approach.

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Discussion Points

One of the main points raised in the conversation is the failure of independent practice to increase access to care. In the current practice, most non-physicians push for independent practice arguing that it would increase access to care for rural and underserved populations (Ortiz et al., 2018). However, the podcast presents a different perspective. Kai Sternstein notes that physicians and non-physicians usually practice alongside each other rather than independently, as generally believed in states that allow independent practice (American Medical Association, 2021). This point is interesting to note since it underscores the importance of physician-led practice.

The other major discussion point raised in the conversation is a name change and how it can hamper patient experiences. Kai exemplifies this point by using nurse anesthetists’ name change to nurse anesthesiologists (American Medical Association, 2021). From a practice dimension, such a name change alters the practice expectations of nurse anesthetists. Furthermore, patients’ confidence in the healthcare process depends on their relationship with providers. Hence, patients must understand the job description of their providers and qualifications.

Analysis

Healthcare organizations should do everything within their capacity to support physician-led practice. Although independent practice for non-physicians is crucial during crises such as the COVID-19 pandemic, better clinical outcomes are achieved when physicians lead care teams. Physicians’ in-depth training, experience, and skills bring the uniqueness and leadership needed for a collaborative practice and healthcare environments that protect patients’ health and well-being (Hermon, 2022; Robezknieks, 2020). As a result, care quality should be prioritized as non-physicians continue pushing for independent practice. Regarding name change, all practitioners must work with consistent and discernible professional designations (Giaimo & Klauer, 2021). This denotes intellectual honesty since it enables patients to understand their healthcare providers’ qualifications and roles.

Leadership is crucial for team-based care and positive patient experiences. Although independent practice helps to address some of the problems stemming from a nursing shortage, care quality should guide decision-making in practice and legislation. As highlighted in the conversation between Todd Unger and Kai Sternstein, independent practice may not necessarily solve access to care challenges. Besides, the physician-led practice has better clinical outcomes since physicians are the most skilled and cost-effective team leaders in healthcare delivery.

References

American Medical Association. (2021). Michaela Sternstein, JD, on scope of practice and patient safety| moving medicine for Nov. 11, 2021. YouTube. https://www.youtube.com/watch?v=-JzSm7PnIic

Costello, M., Rusell, K., & Coventry, T. (2021). Examining the average scores of nursing teamwork subscales in an acute private medical ward. BMC Nursing, 20(1), 84. https://doi.org/10.1186/s12912-021-00609-z

Giaimo, J. A. & Klauer, K. (2021). AOA statement on American Association of Nurse Anesthetists name change, title misappropriation and the importance of physician-led care. American Osteopathic Association. https://osteopathic.org/2021/09/14/aoa-statement-on-american-association-of-nurse-anesthetists-name-change-title-misappropriation-and-the-importance-of-physician-led-care/

Harmon, G. E. (2022). Physician-led teams deliver the care patients deserve. AMA. https://www.ama-assn.org/about/leadership/physician-led-teams-deliver-care-patients-deserve

Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018). Impact of nurse practitioner practice regulations on rural population health outcomes. Healthcare (Basel, Switzerland), 6(2), 65. https://doi.org/10.3390/healthcare6020065

Robezknieks, A. (2020). Why patients want doctors to lead the care team. AMA. https://www.ama-assn.org/practice-management/scope-practice/why-patients-want-doctors-lead-care-team

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Discussion Guidelines

Initial Post

Reflect on the video Scope of Practice and Patient Safety

Links to an external site. and discuss, in 500 words or less, the following points:

Discuss your initial thoughts on two of the discussion points identified by the participants in the presentation.

Voice your agreement or disagreement on both discussion points using credible sources (your opinion must be based on two credible sources, not your feelings). Do not cite websites in your post unless they are from a nationally recognized organization.

Response Posts

Use the RISE Model for Meaningful Feedback (PDF) to provide thorough feedback to at least two classmates’ initial posts by the end of day Sunday.

Submission

Post your initial and follow-up responses and review full grading criteria on the Discussion 10.1: Scope of Practice and Patient Safety page.