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Summary NSG5000 M1A2 .docx Family Nurse Practitioner NSG5000 Family Nurse Practitioner South University NSG5000: Role of the Advanced Practice Nurse Family Nurse Practitioner First and foremost, a Family Nurse Practitioner (FNP) is a clinical, hands-on pra
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NSG5000 M1A2 .docx Family Nurse Practitioner NSG5000 Family Nurse Practitioner South University NSG5000: Role of the Advanced Practice Nurse Family Nurse Practitioner First and foremost, a Family Nurse Practitioner (FNP) is a clinical, hands-on practitioner or provider. The staff writers for...
nsg5000 m1a2 docx family nurse practitioner nsg5000 family nurse practitioner south university nsg5000 role of the advanced practice nurse family nurse practitioner first and foremost
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Family Nurse Practitioner
NSG5000
Family Nurse Practitioner
South University
NSG5000: Role of the Advanced Practice Nurse
Family Nurse Practitioner
First and foremost, a Family Nurse Practitioner (FNP) is a clinical, hands-on practitioner
or provider. The staff writers for www.nursepractitionerschools.comdescribe a Family Nurse
Practitioner as follows. “A Family Nurse Practitioner… is a registered nurse with specialized
education and clinical training in family practice” (2020). A FNP is considered an advanced
practice RN (APRN). To become an FNP, a person starts as a registered nurse. The person then
applies to a master’s program specializing in FNP. Upon completing the program, the nurse will
take a certification exam given by the American Academy of Nurse Practitioners Certification
Board. “NPs provide care through diagnosis and treatment as well as addressing disease
prevention and health management” (O’Grady and Tracy, 2018).
The history of the NP begins many years before their accreditation. In the 1930’s, the
Frontier Nursing Service provided “most of the primary health care needed by people living in
rural Appalachia” (O’Grady and Tracy, 2018). This came about due to the lack of needed
medical providers in the rural areas. They were the nurses that modeled the first NPs. At that time
they worked completely under protocols or standing orders “with the permission of their advisory
committee” (O’Grady and Tracy) 2018). These early NPs were very autonomous. Even today,
the lack of MDs in rural communities’ accounts for the need to utilize NPs in these areas.
, In the 1960’s, pediatric NP programs were originated as a 4-month program that did not
require a master’s degree. Over the following years, there was lots of debate and controversy
about the NP’s role. The NP advanced to requiring a master’s level education. “in 1971, Idaho
became the first state to recognize diagnosis and treatment as part of the scope of practice of
specialty nurses” (O’Grady and Tracy, 2018). In the 1980’s, the term advanced practice was
coined. Writing prescriptions was a very controversial topic for the evolving NP role. To write
prescriptions, the Drug Enforcement Act required a US Drug Enforcement Administration (DEA)
registration number. Only physicians and dentists could obtain these numbers. In 1993, the DEA
made the provision for mid-level providers (Nurse Practitioners and Physician Assistants) to
have DEA registration numbers, thus allowing NPs to prescribe (O’Grady and Tracy, 2018).
On the American Association of Nurse Practitioners website, the quality of NP practice is
discussed. It is stated that “Half a century of research definitively demonstrates that nurse
practitioners provide high-quality primary, acute and specialty healthcare services” (n.d.) High-
quality healthcare promotes positive outcomes in patients.
In 2018, Buerhaus, et al’s research examined “differences in the quality of care provided
by primary care nurse practitioners (PCNPs), primary care physicians (PCPs), or both
clinicians”. The sources used were “Medicare part A and part B claims during 2012-2013”
Buerhaus, et al, 2018). They used “retrospective cohort design using standard risk-adjustment
methodologies and propensity score weighting assessing 16 claims-based quality measures
grouped into 4 domains of primary care: chronic disease management, preventable
hospitalization, adverse outcomes, and cancer screening” (Buerhaus, et al, 2018). The sample
used were “continuously enrolled aged, disabled, and duel eligible beneficiaries who received at
least 25% of their primary care services from a random sample of PCMDs, PCNPs, or both
clinicians” (Buerhaus, et al, 2018). The NP’s patients had lower hospital admissions,
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