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Hain, D., & Fleck, L.M. (2014). Barriers to NP practice that impact healthcare redesign. The Online Journal of Issues in Nursing, 19(2), 1. doi:10.3912/OJIN.Vol19No02Man02Poghosyan, L., Boyd, D., & Knutson, A.R. (2014). Nurse practitioner role, independent practice, & teamwork in primary care. The Journal for Nurse Practitioners, 10(7), 472-479. doi:10/1016/j.nurpra.2014.05.009Show LessInstructor Duncanreply to Molly McIntyre8/15/2016 11:42:06 AMRE: Part 1Molly,For so long, since inception really, the healthcare l&scape has been 100% under physician
control. Now we expect physicians to collaborate more & underst& NPs can provide efficient, cost-effective, exceptional care. This has caused much havoc in many states, but has been successfully implemented in others. Hopefully the laws will change in even more states moving forward. Dr. DuncanShow LessDana Harbuckreply to Molly McIntyre8/16/2016 1:34:42 PMRE: Part 1Hello Molly,I enjoyed reading your post. I agree with you that major physician organizations road blocks to full practice authority for advanced practice nurses. This interaction with the physician is a good opportunity to educate them on the benefits & expertise nurse practitioners bring to the health care profession. The points you made in your post are perfect examples of how we can educate physicians.In the fall of 2010 the Robert Wood Johnson Foundation, met with twelve leaders from physician & nursing organizations, is a project to develop a consensus on future collaboration between physicians & advance practice nurses. They drafted a document of the dialog between the leaders & called it, “Common Ground: An Agreement between Nurse & Physician Leaders on Interprofessional Collaboration for the Future of Patient Care.” Unfortunately, the report became public & several physician organizations withdrew from the project. These organization cited concerns for patient safety, lack of continued access to physicians’ medical expertise, & quality of care. One thing learned from this meeting, was that physicians & nurses more easily find common ground when they have face to face dialog, then their professional organizations (Robert Wood Johnson Foundation 2013).Physicians & nurse practitioners approach health care in different ways & with different philosophies, although with both, patient health & safety is a priority. If we educate physicians on the nursing approach to medicine & create a dialog between physicians & nurses, at some point we may be able to come to some type of common ground.Reference:
Robert Wood Johnson Foundation. (2013). How to foster Interprofessional collaboration betweenphysicians & nurses? Incorporating lessons learned in pursuing a consensus. Retrieved from Show LessMijanou Marretta-Lewis8/14/2016 5:08:26 PMDiscussion Part OneDr. Duncan & Classmates,The statement made by the physician is not new in the State of Ohio. There is fear that nurse practitioners (NPs) will get equal pay for the same services rendered by physicians in states that do not have independent authority. The Institute of Medicine (IOM) (2010) released a study, The